Başak Çaypınar Eser1, Aslı Şahin Yılmaz1, Serap Şahin Önder1, Sema Zer Toros2, Çağatay Oysu3. 1. Clinic of Otorhinolaryngology, University of Health Sciences Ümraniye Training and Research Hospital, İstanbul, Turkey. 2. Clinic of Otorhinolaryngology, University of Health Sciences Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey. 3. Department of Otolaryngology, Marmara University School of Medicine, İstanbul Turkey.
Abstract
OBJECTIVE: We aimed to evaluate the effects of nasal functions for the integrity of grafts after myringoplasty. METHODS: In our study 78 patients who underwent myringoplasty operation between 2011-2013 were included. Group I was defined as the group with an intact tympanic membrane following surgery. Group II was defined as the group with a tympanic membrane perforation following surgery. Group I consisted of 44 and Group II consisted of 34 patients. Subjective and objective measurements of nasal functions, Eustachian tube function (ETF), and allergic status were performed using nasal obstruction symptom evaluation (NOSE) scale, visual analog scale (VAS), and the score for allergic rhinitis (SFAR) questionnaires and acoustic rhinometry and saccharin test. It was investigated whether there was any difference between these two groups in terms of these parameters. RESULTS: There was statistically no significant difference between groups according to the age, sex and the presence of tubal dysfunction and allergic rhinitis (p>0.05). In the group of intact tympanic membranes, the likelihood of right ear being the operated one was significantly higher compared to the group of myringoplasty failures (p=0.037). The VAS and NOSE scales did not show any significant difference between groups in terms of successful outcome of myringoplasty (p>0.05). The nasal congestion index (NCI) and the mucociliary clearance (MCC) did not show any significant difference between groups in terms of successful outcome of myringoplasty (p>0.05). CONCLUSION: This study has shown that nasal functions measured by objective and subjective methods had no effects on the success of myringoplasty.
OBJECTIVE: We aimed to evaluate the effects of nasal functions for the integrity of grafts after myringoplasty. METHODS: In our study 78 patients who underwent myringoplasty operation between 2011-2013 were included. Group I was defined as the group with an intact tympanic membrane following surgery. Group II was defined as the group with a tympanic membrane perforation following surgery. Group I consisted of 44 and Group II consisted of 34 patients. Subjective and objective measurements of nasal functions, Eustachian tube function (ETF), and allergic status were performed using nasal obstruction symptom evaluation (NOSE) scale, visual analog scale (VAS), and the score for allergic rhinitis (SFAR) questionnaires and acoustic rhinometry and saccharin test. It was investigated whether there was any difference between these two groups in terms of these parameters. RESULTS: There was statistically no significant difference between groups according to the age, sex and the presence of tubal dysfunction and allergic rhinitis (p>0.05). In the group of intact tympanic membranes, the likelihood of right ear being the operated one was significantly higher compared to the group of myringoplasty failures (p=0.037). The VAS and NOSE scales did not show any significant difference between groups in terms of successful outcome of myringoplasty (p>0.05). The nasal congestion index (NCI) and the mucociliary clearance (MCC) did not show any significant difference between groups in terms of successful outcome of myringoplasty (p>0.05). CONCLUSION: This study has shown that nasal functions measured by objective and subjective methods had no effects on the success of myringoplasty.
Authors: Michael G Stewart; David L Witsell; Timothy L Smith; Edward M Weaver; Bevan Yueh; Maureen T Hannley Journal: Otolaryngol Head Neck Surg Date: 2004-02 Impact factor: 3.497