Type II and type III timpanoplasties - A 10 year revision

Authors

  • Clara Silva Interna de Otorrinolaringologia dos HUC-CHUC, Portugal
  • Pedro Mesquita Interno de Otorrinolaringologia dos HUC-CHUC, Portugal
  • Natércia Silvestre Interna de Otorrinolaringologia dos HUC- CHUC, Portugal
  • João Carlos Ribeiro Assistente Hospitalar de Otorrinolaringologia dos HUC-CHUC, Portugal
  • Ana Margarida Amorim Assistente Hospitalar de Otorrinolaringologia dos HUC-CHUC, Portugal
  • António Paiva Director de Serviço de Otorrinolaringologia dos HUC; Professor Catedrático da Faculdade de Medicina da Universidade de Coimbra, Portugal

DOI:

https://doi.org/10.34631/sporl.99

Keywords:

timpanoplasties, Air bone GAP, Pure tone average

Abstract

This study aims to assess the epidemiological and functional differences between Portmann´s type II (T2) and III (T3) tympanoplasties trying to find functional predictors of success.
Retrospective study of 171 patients undergoing a T2 or T3 surgery between 2000 and 2009.
A total of 171 cases (119 T2 and 52 T3) were pooled. T2 had a preoperative air bone GAP (ABG) of 28.1+8.5dB and pure tone average (PTA) of 47.1±15.2dB, while T3 showed a 32.8±8.0dB ABG and a 55,9±16,4dB PTA (p<0.05). The average improvement was 9.8±13.8dB and 7.0±11.8dB for T2 and T3, respectively (p<0,05). Functional success was significantly different between T2(82%) and T3(63,5%,p<0,05).
Our data suggests that the T2 have younger individuals and better preoperative ABG and PTA. Preoperative PTA is a predictor of functional success T2. Functional success is greater in T2 rather than T3.

References

Ho SY, Battista RA, Wiet RJ. Early results with Titanium Ossicular Implants. Otology & Neurotology.2003; 24:149-152.

Cuadra RI et al. Type III Tympanoplasty with titanium total ossicular replacement prosthesis: anatomic and functional results. Otology&Neurotology, 2010; 31: 409-414.

Roth J.A. ; Pandit S.R.; Soma M.; Kertesz T.R. Ossicular chain reconstruction with a titanium prosthesis. The Journal of Laryngology &Otology. 2009, 123, 1082-1086.

Portmann M. et al. Traitê de Technique Chirurgical ORL et Cervical. Tome Premier Oreille et Os Temporal. Les Timpanoplasties à visée mixte. Masson&die, 1975.

Choi H, et al. Frequency-Specific Hearing Results after Surgery for Chronic ear diseases. Clinical and Experimental Otorhinolaryngology. 2011; 4: 126-130

Bared A. Angeli S.I. Malleus handle: determinant of success in ossiculoplasty. American Journal of Otolaryngology- Head and Neck Medicine and Surgery. 2010; 31: 235-240.

Yung M, Vowler SL. Long term results in ossiculoplasty: an analysis of prognostic factors. Otology& Neurotol. 2006; 27: 874-81.

Committee on Hearing and Equilibrium. Guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head and Neck Surgery.1995; 113:186-7.

Ikramullah K. Amir MJ, Farrukh S. Midldle ear reconstruction: a review of 150 cases. The Journal of Laryngology & Otology. 2002, 116: 435-439.

Shimizu Y, Goode R.L. Effect of absence of malleus on ossiculoplasty in human temporal bones. Otolaryngology Head Neck Surgery. 2008; 139: 301-6.

De Vos C. et al : Prognostic factors in ossiculoplasty. Otology& Neurotology. 2006; 28: 61-7.

De Corso E. et al. Role of ossiculoplasty in canal wall down tympanoplasty for middle ear cholesteatoma: hearing results. J Laryngol Otol. 2007; 121: 324-8.

How to Cite

Silva, C., Mesquita, P., Silvestre, N., Ribeiro, J. C., Amorim, A. M., & Paiva, A. (2014). Type II and type III timpanoplasties - A 10 year revision. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 52(1), 5–9. https://doi.org/10.34631/sporl.99

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Original Article