Effects of tobacco on tympanoplasty
DOI:
https://doi.org/10.34631/sporl.21Keywords:
Tympanoplasty, Tobacco, PerforationAbstract
Objectives: The aim of this study is to relate the tobacco smoke with graft failure and also with audiometry.
Material and Methods: A retrospective review of medical records of patients undergoing myringoplasty or tympanoplasty type I, from July 2003 to December 2006.
Results: Of 176 procedures, 19.53% of non-smokers and 22.92% of smokers have graft failure. The mean of the difference between preoperative and postoperative SRT was 13.17 dB in non-smokers and 12.79 dB in smokers. The mean of the difference between ABG and post-operative was 12.02 in non-smokers and 12.41 in smokers. None of these differences was statistically significant.
Conclusions: To date, there has been no definitive study on the role of tobacco in tympanoplasty however some studies have shown worse outcomes in smokers.
References
Kaylie DM, Bennett ML, Davis B, Jackson CG. Effects of Smoking on Otologic Surgery Outcomes. Laryngoscope. 2009 July; 119: 1384-90
Yilmaz G, Caylan ND, Karacan CD. Effects of Active and Passive Smoking on Ear Infections. Curr Infect Dis Rep. 2012 February.
Becvarovski Z, Kartush JM. Smoking and Tympanoplasty: Implictions for Prognosis and the Middle Ear Risk Index (MERI). Laryngoscope. 2001 October. 111: 1806-11
Uguz MZ, Onal K, Kazikdas KC, Onal A. The Influence of Smoking on Success of Tympanoplasty measured by Serum Cotinine Analysis. Eur Arch Otorhinolaryngol. 2008. 265: 513-16
Lin Y, Wang W, Weng H, Lin Y. Predictors of Surgical and Hearing Long-term results for Inlay Cartilage Tympanoplasty. Arch Otolaryngol Head Neck Surg. 2011 Mar. 137: 215-219