Tympanoplasty. Perforation of tympanic membrane
Conditions
Interventions
Intervention 1: Day case Tympanoplasty surgery in intervention group.
day-case surgery in this study means discharge the patients within 8 hours after surgery. Intervention 2: Routin Tympanoplasty s
Treatment - Surgery
Day case Tympanoplasty surgery in intervention group.
day-case surgery in this study means discharge the patients within 8 hours after surgery.
Routin Tympanoplasty surgery in control group
Sponsors
Vice Chancellor for Research, Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Inclusion criteria for day-case surgery group: all patients more than 18 years old who have indication of tympanoplasty; availability to telephone or cellphone; patients dwell inside Shiraz; availability of personal car; care of patients by their family at home; sign of consent form; low anesthesia risk score (score=1); having discharge criteria included: The patients who are awake and alert with stable vital signs, Cases who are mobile, could tolerate fluids; educated patients or their family (high school or more than high school; tympanic perforation =50 % Inclusion criteria for overnight admission group: all patients more than 18 years old who have indication of tympanoplasty; tympanic perforation =50 % Exclusion criteria for day-case surgery group: pre operative medical problems such as asthma, diabetes, coagulation disorders, cardiovascular disease, basic metabolic disorder, immune system deficiency and chronic liver or renal disease.; do not have someone for care of patients at home.; patients dwell outside shiraz; intraoperative complications such as iathrogenic facial nerve truma, iathrogenic displacement of stapes, labirynthin fistula, dural tearing and CSF leakage.; Patient with recurrent emesis, vertigo and uncontrolled pain, not relieved by oral acetaminophen; revision tympanoplasty; Smoker patients; Patients with preoperative mixed hearing loss; Patients with contra-lateral ear disease.; presence of cholestatoma ; presence of tympanosclelerotic plaque in middle ear; presence of granulation tissue in middle ear Exclusion criteria for overnight admission group: pre operative medical problems such as asthma, diabetes, coagulation disorders, cardiovascular disease, basic metabolic disorder, immune system deficiency and chronic liver or renal disease; Smoker patients; Patients with revision surgery; Patients with preoperative mixed hearing loss; Patients with contra-lateral ear disease; presence of cholestatoma; presence of tympanosclelerotic plaque in middle ear; presence of granulation tissue in middle ear
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hearing threshold. Timepoint: before operation - 6 months after operation. Method of measurement: pure tone audiometry.;Postoperative nausea and vomiting (PONV). Timepoint: 24 hours postoperatively. Method of measurement: Observation by trained nurse staff in overnight admission group - selfreport by payients in day-case group.;Postoperative pain. Timepoint: 24 hours postoperatively. Method of measurement: Visual Analog Scale (VAS).;Tympanic membarane graft succsess rate. Timepoint: 6 months after operation. Method of measurement: Observation by surgeon. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSareh Roosta
Center for Development of Clinical Studies, Vice Chancellery of Research and Technology, Shiraz Univ
Outcome results
None listed