None listed
Conditions
Brief summary
Tympanoplasty is a surgical procedure to repair tympanic membrane perforations. This study aims to evaluate its effects to counsel patients about clinical outcomes, quality of life, and depression and anxiety. Furthermore, to add a comprehensive perspective about tympanoplasty.
Interventions
All surgeries were performed using the postauricular approach under general anesthesia. The procedure involved harvesting temporalis fascia or conchal cartilage, refreshing the edges of the perforation and the medial surface of the tympanic membrane, elevating the meatal flap and annulus, and preparing the middle ear space. Ossicular reconstruction, when required, was carried out using cartilage grafts, incus interposition, or partial ossicular replacement prostheses (PORPs). The underlay grafti
All surgeries were performed using the postauricular approach under general anesthesia. The procedure involved harvesting temporalis fascia or conchal cartilage, refreshing the edges of the perforation and the medial surface of the tympanic membrane, elevating the meatal flap and annulus, and preparing the middle ear space. Ossicular reconstruction, when required, was carried out using cartilage grafts, incus interposition, or partial ossicular replacement prostheses (PORPs). The underlay grafting technique was employed in all cases. The Eustachian tube and tympanic cavity were packed with gelfoam to support graft placement. Patients were administered acetaminophen as needed and were observed in a day-surgery unit for approximately 24 hours postoperatively. All surgeries were performed by senior otolaryngology residents under the supervision of ENT and otologic surgeons. The anticipated duration of each procedure was approximately 2 hours.
Sponsors
Damascus University
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
Participants with dry perforation aged between 18-55 years old
Exclusion criteria
patients younger than 18 years old, who had active squamous chronic otitis media (cholesteatoma), acute perforation, severe uncontrolled chronic disease, using hearing aids, physical disability, psychiatric medications, and pregnancy.
Outcome results
None listed