AI Article Synopsis
- The study compares outcomes of revision myringoplasty with primary surgery using data from the International Otology Database over nine years.
- Out of 611 myringoplasty cases, 8.1% had post-operative perforations, with similar rates observed in benchmark centres (6.4%).
- Average hearing gain for revision cases was reported at 7 dB, indicating that revision myringoplasty outcomes are comparable to primary cases in this study.
Article Abstract
Unlabelled: Audit question: Does revision myringoplasty have worse outcomes than primary surgery?
Methods: The International Otology Database has been used to record data on surgery for middle-ear disease in Norfolk, UK, over nine years. The data show the results of all myringoplasty cases and the results of revision cases. Outcome measures are perforation and hearing change. Comparison is made with benchmark centres of excellence.
Results: A total of 611 operations included myringoplasty; 356 (58 per cent) of cases had a recorded follow up at 3 months. Twenty-nine patients (8.1 per cent) had a post-operative perforation. Benchmark centres performed 2319 operations; 1284 (55 per cent) of these had a follow up at 3 months, and 82 patients (6.4 per cent) had a perforation at follow up. Sixty-nine of the Norfolk patients were revision cases. Six of the 69 patients (8.7 per cent) had a perforation at follow up. The average hearing gain in the revision myringoplasty patients in Norfolk was 7 dB.
Conclusion: The results of the revision myringoplasty cases are the same as those for the primary myringoplasty cases in this series.
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| http://dx.doi.org/10.1017/S0022215117000202 | DOI Listing |
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