Otologic surgery following ear trauma

Otolaryngology - Head and Neck Surgery - Tập 137 - Trang 757-761 - 2007
J. Matthew Conoyer1, David M. Kaylie1, C. Gary Jackson1
1Otology Group of Vanderbilt, Department of Otolaryngology—Head and Neck Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.

Tóm tắt

ObjectivesTo investigate common presentations and expected outcomes in patients with traumatically induced otologic dysfunction.Study DesignRetrospective case review of patients who underwent otologic surgery for sequelae of otologic trauma over a 28‐year period. Patients were stratified into major and minor trauma cohorts. Major trauma was designated as closed head injury with or without temporal bone fracture; lower‐energy insults comprised the minor trauma group. Preoperative and postoperative audiograms were obtained and correlated with extent of injury.SettingTertiary referral center.ResultsMajor trauma accounted for 44.9 percent of all patients. The remaining 55.1 percent suffered minor trauma, of which simple traumatic tympanic membrane perforation was the most common insult (33.6%). Two hundred twenty‐seven cases were performed on 214 patients. Pure tone averages improved a significant 20.8 dB to essentially normal levels postoperatively.ConclusionRegardless of injury extent, surgical rehabilitation of conductive losses attains excellent hearing results that surpass those historically reported for the chronic ear population.

Tài liệu tham khảo

Brodie HA, 1997, Management of complications from 820 temporal bone fractures., Am J Otol, 18, 188 Jackson CG, 1996, A surgical solution for the difficult chronic ear., Am J Otol, 17, 7 10.1007/BF02129204 Vartiainen E, 1993, Success and pitfalls in myringoplasty: follow‐up study of 404 cases., Am J Otol, 14, 301 10.1288/00005537-197905000-00006 10.1097/00005537-200410000-00011 10.1097/00005537-200401000-00011 10.1016/S0194-5998(95)70103-6 10.1097/00005537-200403000-00023 10.1288/00005537-198308000-00001 Sheehy JL, 1985, Personal experiences with TORPs and PORPs: a report on 455 operations., Am J Otol, 6, 80 Smyth G, 1982, Five year report on partial ossicular replacement prostheses and total ossicular replacement prostheses., Otolaryngol Head Neck Surg, 90, 343 10.1288/00005537-197602000-00009 Crabtree JA, 1982, Tympanoplasty and ossicular reconstruction: the last four years., Am J Otol, 4, 172 10.1016/j.otohns.2005.10.044