OUTCOMES OF TYMPANIC MEMBRANE REPAIR USING TEMPORALIS FASCIA IN CHRONIC OTITIS MEDIA WITH PERFORATION: EXPERIENCE FROM CA MAU GENERAL HOSPITAL
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Abstract
Objective: To evaluate the surgical outcomes of tympanic membrane repair using temporalis fascia in the treatment of chronic otitis media with perforation at the Department of Otolaryngology, Ca Mau General Hospital.
Methods: A cross-sectional, prospective, analytical study was conducted on 49 patients with chronic otitis media with tympanic membrane perforation, who underwent tympanic membrane repair with temporalis fascia from April 2016 to July 2017.
Results: The female rate (69.4%) was higher than the male rate (30.6%). The age group of 18–50 years accounted for the highest proportion at 71.4%, while patients over 50 years accounted for 28.6%. Conductive hearing loss was the most common type (81.6%), followed by mixed hearing loss at 10.2%. The average hearing loss level was 39.29 dB ± 17.02, with mild hearing loss at 53.1%, moderate at 24.5%, severe at 6.1%, profound at 2%. The tympanic membrane healing rate was 95.9% at 3 months post-surgery, and the average hearing level at 3 months post-surgery was 29.80 dB ± 16.68, with an average improvement of 9.49 dB. At 3 months post-surgery, 67% of cases were rated as good, 28.6% as moderate, and 4.1% as poor.
Conclusions: The use of temporalis fascia for tympanic membrane repair yields a high success rate.
Keywords
otitis media, myringoplasty, fascia
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References
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