Audiometric Results after Type I Tympanoplasty: Retrospective Study

Authors

  • Mariana Neto Hospital Garcia de Orta, Unidade Local de Saúde de Almada Seixal, Portugal https://orcid.org/0000-0003-4949-8762
  • Sílvia Alves Hospital Garcia de Orta, Unidade Local de Saúde de Almada Seixal, Portugal
  • Sofia Teles Hospital Garcia de Orta, Unidade Local de Saúde de Almada Seixal, Portugal
  • Catarina Areias Hospital Garcia de Orta, Unidade Local de Saúde de Almada Seixal, Portugal
  • Henrique Teixeira Hospital Garcia de Orta, Unidade Local de Saúde de Almada Seixal, Portugal
  • Luís Antunes Hospital Garcia de Orta, Unidade Local de Saúde de Almada Seixal, Portugal

DOI:

https://doi.org/10.34631/sporl.2200

Keywords:

Type I tympanoplasty, Grafts, Audiological results, Hearing tests, Tympanoplasty, Cartilage, Fáscia, Treatment outcome

Abstract

Type I tympanoplasty is a common surgery in otorhinolaryngology. The main objective is to restore the integrity of the tympanic membrane, preventing infections, and improving hearing.This is a retrospective study of all patients who underwent Portmann type I tympanoplasty at the Garcia de Orta hospital in the last 10 years. The types of graft used and the pre- and postoperative audiometric results were recorded and the anatomical and audiometric success rates were analyzed.72 patients were included, with a mean age of 54 years. The study revealed a success rate of 70% in relation to closing the perforation and 60% in relation to closing the air-bone gap. The best graft in terms of closure was the temporal fascia + cartilage, a statistically significant result. In terms of closure of the air-bone gap, it was the temporal fascia, but it was not statistically significant. The anatomical and audiometric results are comparable to those published in the literature.

 

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References

Mangia LRL, Amadeu NT, da Silva Oliveira M, Patzer LS, Somensi ES, Hamerschmidt R. Success rates and predictors of outcomes of type I tympanoplasty performed by residents in a teaching tertiary hospital. J Otol. 2023 Oct;18(4):214-219. doi: 10.1016/j.joto.2023.09.003.

Fukuchi I, Cerchiari DP, Garcia E, Rezende CE, Rapoport PB. Tympanoplasty: surgical results and a comparison of the factors that may interfere in their success. Braz J Otorhinolaryngol. 2006 Mar-Apr;72(2):267-71. doi: 10.1016/s1808-8694(15)30067-7.

Lagos A, Villarroel P, García-Huidobro F, Delgado V, Huidobro B, Caro J. et al.Tympanoplasty: factors associated with anatomical and audiometric results. Acta Otorrinolaringol Esp (Engl Ed). 2020 Jul-Aug;71(4):219-224. doi: 10.1016/j.otorri.2019.07.003.

Al-Khtoum N, Hiari MA. Myringoplasty in children: retrospective analysis of 35 cases. Braz J Otorhinolaryngol. 2009 May-Jun;75(3):371-4. doi: 10.1016/s1808-8694(15)30654-6.

Batni G, Goyal R. Hearing outcome after type I tympanoplasty: a retrospective study. Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(1):39-42. doi: 10.1007/s12070-014-0749-8.

Kolo ES, Ramalingam R. Hearing results post tympanoplasty: our experience with adults at the KKR ENT Hospital, India. Indian J Otolaryngol Head Neck Surg. 2014 Dec;66(4):365-8. doi: 10.1007/s12070-012-0588-4.

Jalali MM, Motasaddi M, Kouhi A, Dabiri S, Soleimani R. Comparison of cartilage with temporalis fascia tympanoplasty: a meta-analysis of comparative studies. Laryngoscope. 2017 Sep;127(9):2139-2148. doi: 10.1002/lary.26451.

Tan HE, Santa Maria PL, Eikelboom RH, Anandacoomaraswamy KS, Atlas MD. Type I tympanoplasty meta-analysis: a single variable analysis. Otol Neurotol. 2016 Aug;37(7):838-46. doi: 10.1097/MAO.0000000000001099

Published

2025-06-03

How to Cite

Neto, M., Alves, S., Teles, S., Areias, C., Teixeira, H., & Antunes, L. (2025). Audiometric Results after Type I Tympanoplasty: Retrospective Study. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 63(2), 155–157. https://doi.org/10.34631/sporl.2200

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Original Article