Does nasal surgery really matters? The importance of nasal surgery in tympanoplasty success
DOI:
https://doi.org/10.34631/sporl.432Keywords:
Timpanoplastia, cirurgia nasal, otite média crónica, desvio do septo nasal, função da trompa de Eustáquio, ventilação do ouvido médioAbstract
The presence of concomitant nasal disease in the preoperative evaluation of chronic otitis media sugery raises some issues in terms of surgical decision. Empirically a transient tubal dysfunction can result from nasal surgery and it may be associated with failure of tymplanoplasty. This study aims to evaluate the success of tympanoplasty in patients receiving both nasal and tympanomastoidectomy surgery. Retrospective analysis of 6 patients who had undergone simultaneous nasal surgery and tympanoplastic surgery. The overall success rate of tympanic graft and aeration of the middle ear was 83.3%. All patients presented a decrease of the air-bone gap (ABG) with tympanoplasty. The average ABG postoperatively was 23.2 dB. The findings are consistent with the rates described in other studies for tympanoplasty without simultaneous nasal surgery. Our results suggest that concomitant nasal surgery do not impairs the success of tympanoplasty.
References
Colins WO, Telischi FF, Balkany TJ, Buchman CA. Pediatric tympanoplasty: Effect of contralateral ear status on outcomes. Arch Otolaryngol Head Neck Surg. 2003 Jun;129(6):646-51
Pinar E, Sadullahoglu K, Calli C, Oncel S. Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg. 2008 Sep;139(3):386-90
Emir H, Ceylan K, Kizilkaya Z, Gocmen H, et al. Success is a matter of experience: Type 1 tympanoplasty: Influencing factors on type 1 tympanoplasty. Eur Arch Otorhinolaryngol. 2007 Jun;264(6):595-9
Albu S, Babighian G, Trabalzini F. Prognostic factors in tympanoplasty. AM J Otol. 1998 Mar;19(2):136-40
Eliades SJ, Limb CJ. The role of mastoidectomy in outcomes following tympanic membrane repair: a review. Laryngoscope. 2013 Jul;123(7):1787-802
Sato H, Nakamura H, Honjo I, Hayashi M. Eustachian tube function in tympanoplasty. Acta Otolaryngol Suppl. 1990;471:9-12
Watson C. Chronic otitis media: the significance of nasal obstruction. Clin Otolaryngol. 1990 Oct;15(5):435-8
Salvinelli F, Casale M, Greco F, D’Ascanio L, et al. Nasal surgery and Eustachian tube function: Effects on middle ear ventilation. Clin Otolaryngol. 2005 Oct;30(5):409-13
Morgan NJ, Soo G, Frain I, Nunez DA. Do ventilated packs reduce post-operative Eustachian tube dysfunction? Clin Otolaryngol Allied Sci. 1995 Oct;20(5):411-2
Maier W, Krebs A. Is surgery of the inner nose indicated before tympanoplasty? Effects of nasal obstruction and reconstruction on the Eustachian tube. Laryngorhinootologie, 1998 Dec;77(12):682-8
Yilmaz MS, Guven M, Buyukarslan DG, Kaymaz R, et al. Do silicone nasal septal splints with integral airway reduce postoperative Eustachian tube dysfunction? Otolaryngol Head Neck Surg. 2012 Jan;146(1):141-5
Tos M. Manual of Middle Ear Surgery. 1ª Edição, Volume 1, Thieme, 1993
Eyigör H, Osma U, Yilmaz MD, Aygener N, et al. The effect of operation success on middle ear ventilation in patients with nasal septal deviation. Kulak Burun Bogaz Ihtis Derg. 2013 Jan-Fev;23(1):26-31
Duran K, Fatih Y, Doğan M. Middle ear pressure after septoplasty. J Craniofac Surg. 2014 Jan;25(1):e19-21
Schuman TA, Labadie RF. Concurrent nasal surgery and tympanoplasty in adults. Ear Nose Throat J. 2010 Oct;89(10):E28-32
Onal K, Ugus MZ, Kazikdas KC, Gursoy ST, et al. A multivariate analysis of otological, surgical and patient-related factors in determining success in myringoplasty. Clin Otolaryngol. 2005 Apr;30(2):115-20
