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Titolo:
Smoking and tympanoplasty: Implications for prognosis and the Middle Ear Risk Index (MERI)
Autore:
Becvarovski, Z; Kartush, JM;
Indirizzi:
Michigan Ear Inst, Farmington Hills, MI USA Michigan Ear Inst Farmington Hills MI USA Inst, Farmington Hills, MI USA Providence Hosp, Southfield, MI 48037 USA Providence Hosp Southfield MI USA 48037 ce Hosp, Southfield, MI 48037 USA Wayne State Univ, Dept Otolaryngol, Detroit, MI 48201 USA Wayne State Univ Detroit MI USA 48201 Otolaryngol, Detroit, MI 48201 USA St George Hosp, Sydney, NSW, Australia St George Hosp Sydney NSW Australia George Hosp, Sydney, NSW, Australia
Titolo Testata:
LARYNGOSCOPE
fascicolo: 10, volume: 111, anno: 2001,
pagine: 1806 - 1811
SICI:
0023-852X(200110)111:10<1806:SATIFP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENVIRONMENTAL TOBACCO-SMOKE; OTITIS-MEDIA; PASSIVE SMOKING; EFFUSION; CHILDREN; RECONSTRUCTION; EXPOSURE; LIFE;
Keywords:
tympanoplasty; smoking; over-under; Middle Ear Risk Index; perforation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Becvarovski, Z 1 S St Kogarah,St George Private Med Complex, Kogarah, NSW 2217, Australia 1 S St Kogarah,St George Private Med Complex Kogarah NSW Australia 2217
Citazione:
Z. Becvarovski e J.M. Kartush, "Smoking and tympanoplasty: Implications for prognosis and the Middle Ear Risk Index (MERI)", LARYNGOSCOP, 111(10), 2001, pp. 1806-1811

Abstract

Objectives/Hypothesis: The objectives of this study are to review the effects of smoking on preoperative middle ear disease severity, long-term surgical outcome, type and extent of surgery required, the need for ossicular chain reconstruction, and the long-term hearing results. Study Design A retrospective chart review. Materials and Methods. The charts of 74 smokers and non-smokers who underwent over-under tympanoplasty were reviewed. An analysis of the disease severity (using the Middle Ear Risk Index [MERI]) at presentation and type of surgery was performed. A review of graft take and delayed failure (late perforation or atelectasis after 6 mo) and audiologic data were performed. Results. Fifteen patients smoked a mean of 20 cigarettes daily for a mean of 15 years. The MERI was well matched for both groups. There was a trend toward smokers having a higher incidence of otorrhea preoperatively and requiring a more extensive surgical procedure. All patients had fall take of the tympanic membrane graft at 6 months; however, delayed surgical failure was seen in 20% of non-smokers compared with 60% of smokers (P = .050). No statistically significant difference was seen in hearing outcome. Conclusions: Cigarette smoking is associated with more severe middle ear disease preoperatively. More extensive surgery is often needed in smokers to eradicate the disease. Most significantly, smoking is associated witha threefold increase in the chance of long-term graft failure. Based on the results of this study, the MERI has been revised to include smoking as a risk factor.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 06:23:45