Risk factors for poor short-term hearing recovery after tympanoplasty under otoendoscope in patients with chronic suppurative otitis media
- VernacularTitle:慢性化脓性中耳炎患者耳内镜下鼓室成形术后短期听力恢复不良的危险因素研究
- Author:
Jianchu WEI
1
;
Peize CHEN
1
;
Hanyue ZHU
1
;
Yunsheng HE
1
Author Information
- Publication Type:Journal Article
- Keywords: chronic suppurative otitis media(CSOM); tympanoplasty under otoendoscope(TUO); poor hearing recovery; risk factors
- From: China Journal of Endoscopy 2025;31(4):50-55
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the risk factors for the occurrence of short-term poor hearing recovery in patients with chronic suppurative otitis media(CSOM)underwent tympanoplasty under otoendoscope(TUO).Methods The clinical data of 260 patients with CSOM treated with TUO from January 2020 to October 2023 were retrospectively analyzed,the patients were followed up for 3 to 6 months after the operation,and were divided into the occurrence group(61 patients)and the non-occurrence group(199 patients)according to whether or not they experienced poor hearing recovery.The clinical data of patients in the two groups were compared,and the independent risk factors affecting the occurrence of poor hearing after TUO in CSOM patients were analyzed by Logistic regression model.Results The results of multivariate Logistic regression analysis showed that tensor tympani defects(OR=1.079,95％CI:1.054～1.105),tympanic mucosal lesions(OR=1.196,95％CI:1.076～1.330),auditory tube incompetence(OR=2.212,95％CI:1.339～3.654),auditory tube inflammation(OR=1.095,95％CI:1.047～1.146),tympanic mucosal fibrosis(OR=2.423,95％CI:1.402～4.186),and preoperative purulent secretion in the tympanic cavity(OR=1.070,95％CI:1.031～1.111)were the independent risk factors contributing to the development of poor hearing recovery after TUO in patients with CSOM(P＜0.05).Conclusion The occurrence of short-term poor hearing recovery after TUO in patients with CSOM is related to tensor tympani defects,tympanic mucosal lesions,auditory tube incompetence,auditory tube inflammation,tympanic mucosal fibrosis,and preoperative purulent secretions in the tympanic cavity,and clinically targeted preventive and curative measures may be given to postoperative patients with CSOM after TUO in order to avoid the occurrence of postoperative short-term poor hearing recovery.
