Abstract
Purpose
Retrospective evaluation of bilateral same-day myringoplasty outcomes.
Methods
Patients who underwent bilateral same-day myringoplasty from 2005 to 2019.
Results
Thirty-eight patients underwent bilateral myringoplasty. Mean age was 44.5 years and 55.3% patients were male. Tragal perichondrium-cartilage composite graft was the most frequently used graft material (82.9%). Perforation closure was achieved in 78.9%. Postoperative Pure Tone Average and Air–Bone Gap decreased significantly (p < 0.05), except for the Air–Bone Gap of the right ear (p = 0.058). The complications were cholesteatoma (1.3%), otorrhea (6.6%) and tympanic membrane retraction (1.3%).
Conclusions
Bilateral same-day myringoplasty is a feasible procedure in selected patients. Good anatomic and functional outcomes, as well as a low rate of complications, are achieved with this procedure, improving patient comfort and allowing for a reduction in operation time and costs.
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References
Dursun E, Demir E, Terzi S, Coşkun ZÖ, Çeliker M, Erdivanlı ÖÇ (2020) Bilateral same-day endoscopic tympanoplasty. Am J Otolaryngol Head Neck Med Surg. https://doi.org/10.1016/j.amjoto.2020.102397
Umamaheswaran P, Mohanty S, Manimaran V, Jayagandhi S, Jeyabalakrishnan SP (2020) A comparative study of sequential vs simultaneous type I tympanoplasty in patients with bilateral chronic otitis media—mucosal type. J Otol 15(2):59–61. https://doi.org/10.1016/j.joto.2019.12.005
Karataş M, Kaskalan E (2019) Simultaneous bilateral butterfly tympanoplasty using tragal cartilage from one ear. Auris Nasus Larynx 46(3):324–329. https://doi.org/10.1016/j.anl.2018.09.007
Caye-Thomasen P, Nielsen TR, Tos M (2007) Bilateral myringoplasty in chronic otitis media. Laryngoscope 117(5):903–906. https://doi.org/10.1097/MLG.0b013e318038168a
Wullstein H (1956) Theory and practice of tympanoplasty. Laryngoscope 66(8):1076–1093. https://doi.org/10.1288/00005537-195608000-00008
Ihsan AT, Ranjana K (2017) Effectiveness of transperforation myringoplasty in bilateral chronic otitis media patients undergoing contralateral tympanoplasty. J Laryngol Otol 131(1):64–68
Lou Z (2020) Comparison of bilateral same-day and sequential endoscopic cartilage myringoplasty for bilateral chronic tympanic membrane perforation. Acta Otolaryngol 140(6):456–462. https://doi.org/10.1080/00016489.2020.1731595
Kim CW, Lee JS, Park CH, Kwon SY, Kim DK, Lee JH (2015) Comparison of sequential same-day middle ear surgeries: Bilateral mastoidectomy, unilateral mastoidectomy with contralateral tympanoplasty, and bilateral tympanoplasty. Eur Arch Otorhinolaryngol 272(6):1395–1402. https://doi.org/10.1007/s00405-014-2931-8
Deniz B, Ihsan K, Ismail G, Oguzhan KR, Muge O (2020) Simultaneous bilateral same-day endoscopic myringoplasty using tragal cartilage from one ear. Ear Nose Throat J 99(8):522–527. https://doi.org/10.1177/0145561319854065
Rai AK, Singh GB, Sahu R, Singh S, Arora R (2014) Evaluation of simultaneous bilateral same day tympanoplasty type I in chronic suppurative otitis media. Auris Nasus Larynx 41(2):148–152. https://doi.org/10.1016/j.anl.2013.10.007
Sakagami M, Mishiro Y, Tsuzuki K, Seo T, Sone M (2000) Bilateral same day surgery for bilateral perforated chronic otitis media. Auris Nasus Larynx 27:35–38. https://doi.org/10.1016/j.otohns.2010.07.013
Yu MS, Yoon TH (2010) Bilateral same-day surgery for bilateral perforated chronic otitis media: inlay butterfly cartilage myringoplasty. Otolaryngol Head Neck Surg 143(5):669–672. https://doi.org/10.1016/j.otohns.2010.07.013
Onal K, Arslanoglu S, Songu M, Demiray U, Demirpehlivan IA (2012) Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media. J Laryngol Otol 126(1):22–25. https://doi.org/10.1017/S0022215111002817
Katsura H, Sakagami M, Tsuji K, Muto T, Okunaka M, Mishiro Y et al (2005) Reevaluation of bilateral same-day surgery for bilateral perforated chronic otitis media. Otolo Neurol 26:842–845. https://doi.org/10.1097/01.mao.0000185059.66715.e6
Olusesi AD, Oyeniran O (2017) Outcome and cost analysis of bilateral sequential same-day cartilage tympanoplasty compared with bilateral staged tympanoplasty. J Laryngol Otol 131(5):399–403. https://doi.org/10.1017/S0022215117000585
Daneshi A, Jahandideh H, Daneshvar A, Safdarian M (2017) Bilateral same-day endoscopic transcanal cartilage tympanoplasty: initial results. Braz J Otorhinolaryngol 83(4):411–415. https://doi.org/10.1016/j.bjorl.2016.04.014
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Sousa, P.S., Fernandes, J.A., Magalhães, C. et al. Bilateral same-day myringoplasty: a feasible option?. Eur Arch Otorhinolaryngol (2024). https://doi.org/10.1007/s00405-024-08692-z
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DOI: https://doi.org/10.1007/s00405-024-08692-z