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Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit

2011; Elsevier BV; Volume: 77; Issue: 2 Linguagem: Inglês

10.1590/s1808-86942011000200013

1808-8694

José Carlos Bolini de Lima, Sílvio Antônio Monteiro Marone, Oswaldo Martucci, Fabiana Gonçalez, João Jovino da Silva Neto, Alice Carolina Mataruco Ramos,

Facial Nerve Paralysis Treatment and Research

Tympanopl asty aims at rebuilding the tympanic membrane with or without middle ear functional recovery.Aim: To evaluate the surgical results of tympanoplasties with a retro-auricular surgical approach at a medical residency unit. Materials and Methods:Thirty-nine patients with diagnosis of simple chronic otitis media were evaluated; these patients underwent tymplanoplasty by a retro-auricular approach (underlay technique) at a medical residency unit.patients were included in a prospective medical and audiologic investigation protocol that consisted of a clinical, otomicroscopic and audiometric evaluation.All procedures were supervised by training specialists otorrinolaringology. Results:The rate of surgical success -full integration of the graft -was 95% of cases.improvement of hearing, as demonstrated in audiometry, occurred in 72% of cases.improvement in tinnitus was demonstrated subjectively on a visual analog scale in 69% of cases. Conclusion:Tympanoplasty through a retro-auricular approach is easy to perform.Full graft integration occurred in 95% of cases and was independent of factors deemed by many authors as relevant.The results -improvement of the quality of hearing and tinnitus -were significant.