Eustachian tube patency and function in tympanoplasty with cartilage palisades or fascia after cholesteatoma surgery

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dc.authoridUZUN, CEM/0000-0003-3233-7049
dc.authorwosidUZUN, CEM/K-3307-2012
dc.contributor.authorUzun, C
dc.contributor.authorCayé-Thomasen, P
dc.contributor.authorAndersen, J
dc.contributor.authorTos, M
dc.date.accessioned2024-06-12T10:56:17Z
dc.date.available2024-06-12T10:56:17Z
dc.date.issued2004
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: To compare the Eustachian tube patency and function after tympanoplasty with either cartilage palisades or fascia grafting after one-stage surgery in children with tensa cholesteatoma. Study Design: In children operated for tensa cholesteatoma, cartilage palisade tympanoplasty was performed in 32 ears and fascia tympanoplasty in 29 cars. The patency of the Eustachian tube was evaluated by the Valsalva maneuver before the operation, 1 to 3 months after the operation, and at a follow-up examination 46 1/2 months later (median). Eustachian tube function was evaluated by the nine-step inflation/deflation tympanometric test and the Toynbee test at the follow-up examination. Otomicroscopy and hearing evaluation were performed before and after surgery as well as at the follow-up. Main Outcome Measures: Eustachian tube patency and function. Hearing, postoperative eardrum perforation/retraction, and cholesteatorna recurrence. Results: The Valsalva maneuver was positive in 30% of the ears before the operation, in 65% primarily after the operation, and in 78% at the follow-up examination. A poor tubal function was found in 57% at follow-up. Overall, the late functional hearing results were better in ears with a positive Valsalva maneuver. There were no differences in tubal patency or function in relation to graft material, cholesteatoma, and tympanoplasty type. In ears with a poor tubal function, the hearing results were significantly better in the palisade group (63% success), compared with the fascia group (17% success). All of the four perforations, most of the retractions, and a single moist eardrum were found in the fascia group at the reevaluation. We found no correlation between the condition of the eardrum and the Eustachian tube function at the last evaluation. However, in ears with a poor tubal function, a nonretracted, nonperforated drum was found with higher frequency in the palisade group. Decision matrix analysis showed that the last postoperative Valsalva maneuver was the best predictor of the drum condition at the reevaluation. Conclusions: The Eustachian tube patency frequently improves after tympanoplasty after cholesteatoma surgery in children, regardless of graft material. The patency and function of the Eustachian tube seem to be without relation to graft material, cholesteatoma, or tympanoplasty type. Cartilage palisade tympanoplasty may be a better reconstruction technique after cholesteatoma surgery, especially in ears with a poor tubal function.en_US
dc.identifier.doi10.1097/00129492-200411000-00003
dc.identifier.endpage872en_US
dc.identifier.issn1531-7129
dc.identifier.issn1537-4505
dc.identifier.issue6en_US
dc.identifier.pmid15547413en_US
dc.identifier.scopus2-s2.0-8544259614en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage864en_US
dc.identifier.urihttps://doi.org/10.1097/00129492-200411000-00003
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19741
dc.identifier.volume25en_US
dc.identifier.wosWOS:000225048700003en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofOtology & Neurotologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectEaren_US
dc.subjectNine-Step Testen_US
dc.subjectToynbee Testen_US
dc.subjectValsalva Maneuveren_US
dc.subjectTensa Retraction Cholesteatomaen_US
dc.subjectChildrenen_US
dc.titleEustachian tube patency and function in tympanoplasty with cartilage palisades or fascia after cholesteatoma surgeryen_US
dc.typeArticleen_US

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