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Long‐term outcomes of cartilage‐buttressed T‐tube tympanoplasty for prolonged middle ear ventilation
Author(s) -
Zuniga Steven A.,
Larner Sean,
Souza David M.,
Khan Andleeb,
Hillman Todd A.,
Chen Douglas A.
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27313
Subject(s) - tympanoplasty , medicine , tympanic membrane perforation , middle ear , cartilage , perforation , surgery , neurotology , intubation , anesthesia , otorhinolaryngology , anatomy , materials science , metallurgy , punching , head and neck surgery
Objectives/Hypothesis To report on the safety and efficacy of cartilage‐buttressed T‐tube tympanoplasty for long‐term middle ear ventilation, specifically by examining duration of tube survival, as well as adverse events associated with prolonged middle ear intubation, including persistent tympanic membrane perforation. Study Design Retrospective case series of patients undergoing cartilage‐buttressed T‐tube tympanoplasty between January 2005 and December 2016 in a tertiary‐care neurotology private practice. Methods Patients who underwent cartilage T‐tube tympanoplasty with complete pre‐ and postoperative audiometric data and a minimum follow‐up duration of 12 months were analyzed. T‐tube survival and adverse events including persistent tympanic membrane perforation were recorded and compared to published data for other long‐term middle ear ventilation techniques. Results The study cohort included 72 cartilage‐buttressed T‐tube tympanoplasties in 68 patients. Median tube survival was 34 months (range, 2–131 months). Incidence of persistent tympanic membrane perforation (n = 1) was 1.4% Conclusions Cartilage‐buttressed T‐tube tympanoplasty is a safe and effective means of accomplishing long‐term middle ear ventilation with a considerably lower rate of persistent tympanic membrane perforation as compared to alternative methods of prolonged middle ear ventilation. Level of Evidence 4 Laryngoscope , 129:203–208, 2019