Social Perspectives At Patients After Tympanoplasty Type I- Retrospective Study And Case Report

The goals of a successful tympanoplasty type I are to reconstruct a vibrant, integer tympanic membrane. This type of surgery will change completely the life of patients with tympanic perforation. Prerequisite for tympanoplasty type I is that it exists intact ossicular chain. Several different types of grafts are used, such as temporalis fascia, cartilage and perichondrium. The aim of this study is to present social perspectives from 21 clinical cases with tympanic perforation and to determine prognostic factors that can influential the outcome of tympanoplasty type I. All the patients were treated in ENT Department “Sfanta Maria†Hospital, Bucharest. We present the clinical and paraclinical diagnostic algorithm for tympanic perforation used for the patients admitted in our Clinic from August 2013- November 2017. These patients underwent underlay myringoplasty type I, performed by junior surgeon. All patients’ undertakeclinical otologic examination and a pure tone audiogram preoperative and postoperative. At 1 month the postoperative otomicroscopy was performed and the hearing outcome assessed 2 months later. The presence of perforation was defined as surgical failure. The patients (7 men and 14women), were aged between 28-64 years old (mean age 47 years). 5 patients were diagnosed with anterior perforation, 4 patients had central perforations and 12 posterior perforation.Surgical success was obtained in 16 cases and 5 subjects presented with reperforation. Several prognostic factors have been identified as influential in tympanoplasty type I success such as the perforation size, the Eustachian tube function and middle ear pathological conditions.