Inner ear function following underlay myringoplasty.

Audiol Neurootol

Department of Otorhinolaryngology, Head and Neck Surgery, University of Brescia, Brescia, Italy.

Published: July 2010

AI Article Synopsis

  • Inner ear function can be influenced by middle ear surgeries like myringoplasty, which is a procedure to repair the eardrum.
  • A prospective study measured bone conduction thresholds before and after surgery, finding a small but significant improvement in bone conduction thresholds (average improvement of 1 dB) among patients.
  • Myringoplasty was shown to be anatomically effective, leading to some improvement in bone conduction with a low risk of hearing impairment.

Article Abstract

Introduction: Inner ear function can be modified by middle ear surgery.

Objectives: This study aimed to describe bone threshold conduction changes after myringoplasty.

Design: Prospective study.

Materials And Methods: Determination of preoperative and 6- to 12-month postoperative bone conduction thresholds for patients consecutively treated by primary underlay myringoplasty.

Results: The mean bone conduction threshold improvement was 1 +/- 6 dB (p = 0.006). There were significant differences in bone conduction threshold changes by surgical approach and for patients with tympanosclerosis. There were no 'dead ears' following intervention, and only a 1% risk of impairment.

Conclusions: Anatomically successful myringoplasty can partially improve bone conduction with minimal risk of impairment.

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Source
http://dx.doi.org/10.1159/000241095DOI Listing

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