Recent outcome of tympanoplasty in the elderly

Citation
T. Saito et al., Recent outcome of tympanoplasty in the elderly, OTOL NEURO, 22(2), 2001, pp. 153-157
Citations number
16
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Otolaryngology
Journal title
OTOLOGY & NEUROTOLOGY
ISSN journal
1531-7129 → ACNP
Volume
22
Issue
2
Year of publication
2001
Pages
153 - 157
Database
ISI
SICI code
1531-7129(200103)22:2<153:ROOTIT>2.0.ZU;2-I
Abstract
Objective: To investigate the outcome of tympanoplasty in the elderly (pati ents older than 60 years) compared with younger patients. Patients and Study Design: Retrospective review of 87 (28.3%) older patient s among a total of 307 patients with chronic otitis media with or without c holesteatoma who were surgically treated at a university hospital by the se nior author. Follow-up was systematically provided at the same institution. Interventions: Surgery included tympanoplasty with mastoidectomy performed as the primary procedure in 358 ears. Tympanoplasty was performed with cana l-wall-up or canal-wall-down with canal wall reconstruction, ossiculoplasty with autologous or homologous ossicle interposition or columella. Mean fol low-up was 30 months (range, 12-70 months). Main Outcome Measures: Pre- and postoperative air- and bone-conduction thre sholds were calculated as an average of three speech frequencies (0.5, 1, a nd 2 kHz). Analysis was subsequently carried out on the postoperative air-b one gap, hearing gain, and postoperative problems such as elevation of the bone-conduction threshold, delayed epithelialization, and reperforation of the eardrum. Statistical analysis was performed by chi-square or Student's t-test. A p value less than 0.05 was considered significant. Results: Compared with results from younger patients, there was no particul ar disadvantage in postoperative hearing results and complications in the e lderly, although preoperative bone-conduction thresholds were gradually wor sened with age. Conclusions: There is no contraindication for tympanoplasty in older patien ts if their physical status is the same or better than what is normal for t heir chronological age.