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العنوان
Correlation between eustachian tube function (ETF) and the outcomes of tympanoplasty /
الناشر
Sameh Ibrahim Mohamed ,
المؤلف
Sameh Ibrahim Mohamed
هيئة الاعداد
باحث / Sameh Ibrahim Mohamed
مشرف / Khaled Ali Ateya
مشرف / Adel Said Elantably
مشرف / Mona Hamdy
مشرف / Mo’men Ali Ameen Hamela
تاريخ النشر
2019
عدد الصفحات
73 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
علم وظائف الأعضاء (الطبية)
تاريخ الإجازة
20/10/2020
مكان الإجازة
جامعة القاهرة - كلية الطب - Otorhinolaryngology
الفهرس
Only 14 pages are availabe for public view

from 84

from 84

Abstract

Introduction: Eustachian tube (ET) dysfunction has been attributed to many diseases of middle ear cleft ranging from as benign as serous otitis media to squamosal (unsafe) chronic otitis media (COM). Many factors have been attributed for the success of tympanoplasty, out of which ET function (ETF) is considered one of the most important. ETF can be evaluated by various tests and assessment of the same can predict the outcome of tympanoplasty. Objective: The objective of this study was to evaluate the effect of ETF on tympanoplasty outcome in COM patients and detect the correlation between the type of the used graft and the outcome of tympanoplasty. Materials and Methods: This prospective study was carried on 41 patients (42 ears) diagnosed to have tubotympanic type of chronic suppurative otitis media. All patients underwent tympanoplasty type 1. Patients were randomly selected from outpatient clinics of Otolaryngology Department in Kasr El-Ainy University Hospital and hearing and speech institute from December 2016 to June 2018. Results: Out of 21 patients (22 ears) who had normal ETF, 18 (81.8%) had successful while four (18.2%) had unsuccessful outcome. Out of 20 patients who had ETD, 12 (60%) had successful while 8 (40%) had unsuccessful outcome. Out of 21 ears where Fascia grafts were used, 16 (76.19%) had healed while 5 (23.8%) had failed. Out of 21 ears where cartilage grafts were used, 14 (66.6%) had healed while 7 (33.3%) had failed