Outcome and cost analysis of bilateral sequential same-day cartilage tympanoplasty compared with bilateral staged tympanoplasty.

摘要: Background: Few studies have compared bilateral same-day with staged tympanoplasty using cartilage graft materials. Methods: A prospective randomised observational study was performed of 38 chronic suppurative otitis media patients (76 ears) who were assigned to undergo sequential (18 patients, 36 or 3 months apart (20 40 ears). Disease duration, intra-operative findings, combined duration surgery, post-operative appearance at 6 weeks, complications, re-do rate and relative cost surgery recorded. Results: Tympanic membrane perforations predominantly subtotal (p = 0.36, odds ratio 0.75). Most grafts harvested from the conchal fewer tragus 0.59, 1.016). Types complication, hearing gain revision rates similar in both patient groups. Conclusion: Surgical outcomes are not significantly different for tympanoplasty, but has added benefit a lower cost.