Do the Angle and Length of the Eustachian Tube Affect the Success Rate of Pediatric Cartilage Type 1 Tympanoplasty

作者: Yakup Yegin , Mustafa Çelik , Ahmet Altintaş , Ceylan Çolak , Fatma Tülin Kayhan

DOI: 10.1097/SCS.0000000000003434

关键词:

摘要: OBJECTIVES To investigate the relationships between angle and length of Eustachian tube (ET) (the ETa ETl) success rates pediatric type 1 tympanoplasty. STUDY DESIGN A retrospective clinical chart review. METHODS In total, 51 children (31 females 20 males; average age, 11.92 ± 3.46 years; age range: 7-18 years) who underwent cartilage tympanoplasty were included. Demographics anatomical outcomes recorded. The patients divided into 2 groups in terms success. group A, all had intact grafts without perforation, retraction, or lateralization, a dry ear, at 6 months postoperatively. B, reperforation tympanic membrane was evident ETl values each measured on computed tomography images using multiplanar reconstruction technique, compared. RESULTS diseased ears males were, respectively, 26.60 ± 6.42° 23.29 ± 6.51°, compared to 27.25 ± 5.23° 23.32 ± 4.61° for normal male female ears, respectively. 26.46 ± 6.82° 22.95 ± 7.50° females. 26.85 ± 6.12° 23.90 ± 4.45° mean 41.0 mm (29.6-45.3 mm) 37.9 mm (32.0-44.5 mm) 40.5 mm (30.5-47.1 mm) 38.0 mm (32.8-45.0 mm) value did not differ males, but higher than (P = 0.020 P   0.05). No difference either group, apparent (both P > 0.05). CONCLUSIONS Neither nor affected rate Further studies with larger numbers are needed compare after placement various graft types effects features ET

参考文章(21)
Hatice Emir, Kursat Ceylan, Zeynep Kizilkaya, Hakan Gocmen, Hakki Uzunkulaoglu, Erdal Samim, Success is a matter of experience: type 1 tympanoplasty : influencing factors on type 1 tympanoplasty. European Archives of Oto-rhino-laryngology. ,vol. 264, pp. 595- 599 ,(2007) , 10.1007/S00405-006-0240-6
Toshiaki Kikuchi, Takeshi Oshima, Yoko Hori, Tetsuaki Kawase, Toshimitsu Kobayashi, Three-dimensional computed tomography imaging of the eustachian tube lumen in patients with patulous eustachian tube. Operations Research Letters. ,vol. 71, pp. 312- 316 ,(2009) , 10.1159/000265939
E VARTIAINEN, J VARTIAINEN, Tympanoplasty in Young Patients: The Role of Adenoidectomy: Otolaryngology-Head and Neck Surgery. ,vol. 117, pp. 583- 585 ,(1997) , 10.1016/S0194-5998(97)70036-6
S-C Choi, C-H Ann, H-M Choi, M-S Heo, S-S Lee, Accuracy of reformatted CT image for measuring the pre-implant site: analysis of the image distortion related to the gantry angle change. Dentomaxillofacial Radiology. ,vol. 31, pp. 273- 277 ,(2002) , 10.1038/SJ.DMFR.4600702
Kenji Takasaki, Haruo Takahashi, Ikue Miyamoto, Haruo Yoshida, Tomomi Yamamoto-Fukuda, Kaori Enatsu, Hidetaka Kumagami, Measurement of angle and length of the eustachian tube on computed tomography using the multiplanar reconstruction technique. Laryngoscope. ,vol. 117, pp. 1251- 1254 ,(2007) , 10.1097/MLG.0B013E318058A09F
Adva B. Friedman, Michael B. Gluth, Page C. Moore, John L. Dornhoffer, Outcomes of cartilage tympanoplasty in the pediatric population. Otolaryngology-Head and Neck Surgery. ,vol. 148, pp. 297- 301 ,(2013) , 10.1177/0194599812470434
R. F. McNab Jones, A case of Pseudomonas pyocyaneus meningitis of otitic origin treated with polymixin. Journal of Laryngology and Otology. ,vol. 69, pp. 567- 572 ,(1955) , 10.1017/S0022215100051094
J. M. Prades, J. M. Dumollard, F. Calloc'h, N. Merzougui, C. Veyret, C. Martin, Descriptive anatomy of the human auditory tube Surgical and Radiologic Anatomy. ,vol. 20, pp. 335- 340 ,(1998) , 10.1007/BF01630616