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tympanoplasty failure

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tympanoplasty failure
ENT An unsuccessful tympanoplasty due to recurrent perforation, persistent drainage, conductive hearing loss, malleus handle pull-away, anterior sulcus blunting, cholesteatoma and graft material breakdown; most 'problem ears' can be repaired or prevented, requiring removal of offending residual mastoid and middle ear disease and reconstruction
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5) For example, it is known that tympanoplasty failure rates are higher in patients who have larger perforations.
Assessments of the size of tympanic membrane perforations: a ... by Ibekwe, Titus S.; Nwaorgu, Onyekwere G.B.; Adeosun, Aderemi A.; Kokong, Daniel D.; Lawal, Hakeem O.; / Ear, Nose and Throat Journal
However, tympanoplasty or mastoidectomy in the absence of appropriate drug therapy will likely be complicated by fistulae, nonhealing of suture lines, and tympanoplasty failure.
Tuberculous otitis media: two case reports and literature review by Salahuddin, Iftikhar / Ear, Nose and Throat Journal
Relative indications for mastoidectomy during tympanoplasty are (1) a history of profuse otorrhea, especially purulent otorrhea, (2) a previous tympanoplasty failure, (3) secondary acquired cholesteatoma, and (4) severe tympanic membrane retraction that is not resectable without further exposure provided by mastoidectomy.
Surgery for chronic ear disease by Haynes, David S. / Ear, Nose and Throat Journal
 
 
 
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