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Titolo:
Recent outcome of tympanoplasty in the elderly
Autore:
Saito, T; Tanaka, T; Tokuriki, M; Shibamori, Y; Yamamoto, T; Noda, I; Ohtsubo, T; Saito, H;
Indirizzi:
Fukui Med Univ, Dept Otolaryngol, Fukui 9101193, Japan Fukui Med Univ Fukui Japan 9101193 ept Otolaryngol, Fukui 9101193, Japan
Titolo Testata:
OTOLOGY & NEUROTOLOGY
fascicolo: 2, volume: 22, anno: 2001,
pagine: 153 - 157
SICI:
1531-7129(200103)22:2<153:ROOTIT>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC OTITIS-MEDIA; SENSORINEURAL HEARING-LOSS; SURGERY; EAR;
Keywords:
tympanoplasty; chronic otitis media; elderly;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Saito, T Fukui Med Univ, Dept Otolaryngol, Matsuoka Cho, Fukui 9101193, Japan Fukui Med Univ Matsuoka Cho Fukui Japan 9101193 i 9101193, Japan
Citazione:
T. Saito et al., "Recent outcome of tympanoplasty in the elderly", OTOL NEURO, 22(2), 2001, pp. 153-157

Abstract

Objective: To investigate the outcome of tympanoplasty in the elderly (patients older than 60 years) compared with younger patients. Patients and Study Design: Retrospective review of 87 (28.3%) older patients among a total of 307 patients with chronic otitis media with or without cholesteatoma who were surgically treated at a university hospital by the senior author. Follow-up was systematically provided at the same institution. Interventions: Surgery included tympanoplasty with mastoidectomy performedas the primary procedure in 358 ears. Tympanoplasty was performed with canal-wall-up or canal-wall-down with canal wall reconstruction, ossiculoplasty with autologous or homologous ossicle interposition or columella. Mean follow-up was 30 months (range, 12-70 months). Main Outcome Measures: Pre- and postoperative air- and bone-conduction thresholds were calculated as an average of three speech frequencies (0.5, 1, and 2 kHz). Analysis was subsequently carried out on the postoperative air-bone gap, hearing gain, and postoperative problems such as elevation of thebone-conduction threshold, delayed epithelialization, and reperforation ofthe eardrum. Statistical analysis was performed by chi-square or Student'st-test. A p value less than 0.05 was considered significant. Results: Compared with results from younger patients, there was no particular disadvantage in postoperative hearing results and complications in the elderly, although preoperative bone-conduction thresholds were gradually worsened with age. Conclusions: There is no contraindication for tympanoplasty in older patients if their physical status is the same or better than what is normal for their chronological age.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/02/20 alle ore 17:54:36