The Laryngoscope · 2013
Results of myringoplasty operations in active and inactive ears in adults.
Сравнительное исследованиеОценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mills Robert, Thiel Gundula, Mills Nadtaya
Аннотация
OBJECTIVES/HYPOTHESIS: To determine whether the presence of aural discharge at the time of surgery adversely affects the success rate of myringoplasty operations.
STUDY DESIGN: Case series comparing the success rate of surgery in active and inactive ears.
METHODS: Data pertaining to 268 operations involving repair of the tympanic membrane without ossiculoplasty carried out in Edinburgh, United Kingdom, between 1999 and 2009 by one senior surgeon and trainees working under his supervision were collected prospectively. Other factors that might potentially influence the outcome of the surgery were investigated using logistical regression analysis. The main outcome measure was number of patients with an intact tympanic membrane 6 months after surgery in the two groups (active and inactive).
RESULTS: Of the 268 operations carried out, 203 were successful, with an intact tympanic membrane, 6 months postoperatively, 43 had persistent perforations, and 22 patients were lost to follow-up before 6 months. The success rates for closure of the perforation at 6 months after surgery were 83% for inactive and 82% for active ears (P = .9).
CONCLUSIONS: There is no clinically significant difference in the success rate for myringoplasty in patients whose ears are active or inactive at the time of surgery.
STUDY DESIGN: Case series comparing the success rate of surgery in active and inactive ears.
METHODS: Data pertaining to 268 operations involving repair of the tympanic membrane without ossiculoplasty carried out in Edinburgh, United Kingdom, between 1999 and 2009 by one senior surgeon and trainees working under his supervision were collected prospectively. Other factors that might potentially influence the outcome of the surgery were investigated using logistical regression analysis. The main outcome measure was number of patients with an intact tympanic membrane 6 months after surgery in the two groups (active and inactive).
RESULTS: Of the 268 operations carried out, 203 were successful, with an intact tympanic membrane, 6 months postoperatively, 43 had persistent perforations, and 22 patients were lost to follow-up before 6 months. The success rates for closure of the perforation at 6 months after surgery were 83% for inactive and 82% for active ears (P = .9).
CONCLUSIONS: There is no clinically significant difference in the success rate for myringoplasty in patients whose ears are active or inactive at the time of surgery.
Предметные рубрики MeSH
AdolescentAdultAgedAged, 80 and overAnalysis of VarianceCohort StudiesDatabases, FactualFemaleFollow-Up StudiesHumansMaleMiddle AgedMyringoplastyOtoscopyPostoperative ComplicationsRecurrenceRegression AnalysisRetrospective StudiesRisk AssessmentSeverity of Illness IndexTime FactorsTomography, X-Ray ComputedTreatment OutcomeTympanic Membrane PerforationUnited KingdomYoung Adult