Clinical Outcome of Endoscopic Tympanoplasty in Elderly Patients with Simple Eardrum Perforation

By June 7, 2019

Liu, Chien-Lin1; ChenChin-Kuo1
1 Department of Otolaryngology-head and Neck Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

With the advances in medicine, the number of elderly is increasing and the geriatric age group becomes larger part of the population than ever before. However, the elderly do have more problems in their ears. Tympanoplasty is a procedure to eradicate disease in the middle ear, obtain an intact tympanic membrane, reconstruct the ossicular chain and sound transmission mechanism. The age was usually recognized as a prognostic factor in almost every kind of surgery. This study was to see if the age is a prognostic factor when we operate endoscopic tympanoplasty.

Patients and methods:
This retrospective study included patients with middle ear diseases who need to receive surgery. All patients did not have a haircut and underwent the transcanal endoscopic surgery using elevation of tympanomeatal flap approaches. Grafts were packed with Gelform soaked with antibiotics. The clinical follow-up continued at least one year postoperatively. Demographic data, perforation size of tympanic membrane at preoperative state, perforation location, pure tone audiometric results preoperatively and postoperatively, and take rate were evaluated.

Age is no longer the prognostic factor. Hearing outcome of TEES in the elderly is not inferior to conventional microscopic surgery and seems no difference. We will present more our data and discussion on the conference.

Conclusion:There is no significant difference in ABG gain. Also, the elderly had higher surgery success rate. To sum up, the age is not the prognostic factor of success rate.