The Effect of Mastoidectomy Combined with Tympanoplasty Type I on Postoperative Hearing in Chronic Otitis Media Patients Older than 65 Years.
10.3342/kjorl-hns.2017.00871
- Author:
Chung Man SUNG
1
;
Hee Young KIM
;
Jong Min PARK
;
Sungsu LEE
;
Hyong Ho CHO
;
Yong Beom CHO
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, Korea. choyb@jnu.ac.kr
- Publication Type:Original Article
- Keywords:
Chronic otitis media;
Elderly;
Hearing;
Mastoidectomy;
Type I tympanoplasty
- MeSH:
Aged;
Anesthesia, General;
Audiometry;
Ear;
Eustachian Tube;
Hearing*;
Humans;
Mastoid;
Methods;
Otitis Media*;
Otitis*;
Retrospective Studies;
Temporal Bone;
Tympanic Membrane;
Tympanoplasty*;
Valsalva Maneuver
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2017;60(12):626-632
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Although canal wall up mastoidectomy (CWUM) has been performed frequently as a treatment for chronic otitis media (COM), the necessity of CWUM for non-cholesteatomatous COM (NCCOM) is still controversial. Since elderly people often have systemic problems, there is a high likelihood of side effects after general anesthesia, so it is important to judge the necessity of mastoidectomy. The purpose of this study was to investigate the effect of CWUM for the treatment of NCCOM in patients over 65 years of age. SUBJECTS AND METHOD: Forty-two cases of CWUM with tympanoplasty type I performed as a treatment for NCCOM from 2007 through 2016 were reviewed retrospectively. Pure tone audiometry was performed preoperatively and postoperatively, and preoperative temporal bone CT was used to evaluate the mastoid status. The valsalva maneuver (VM) was used to evaluate the eustachian tube function. RESULTS: The total number of patients was 42 and the success rate of eardrum repair was 92.8%. Comparison of hearing results taken preoperatively and postoperatively showed significant hearing improvement in both air conduction and air-bone gap. When hearing results were compared according to the mastoid status and the response of VM, there were no significant differences. CONCLUSION: Mastoidectomy combined with tympanoplasty type I showed a high success rate of ear drum repair and good hearing improvement, with no critical side effects. Therefore, mastoidectomy does not need to be limited by one's old age. Adequate mastoidectomy after proper consideration of the mastoid status will be helpful in the treatment of the disease.
