Type 1 Tympanoplasty Outcomes between Cartilage and Temporal Fascia Grafts: A Long-Term Retrospective Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Operative Techniques and Follow-Up
2.2. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Fascia Group (n = 98) | Cartilage Group (n = 44) | ||||
---|---|---|---|---|---|
n/SD | % | n/SD | % | p-Value | |
Age (year) | 52.5 ± 18.9 | 55.3 ± 14.5 | 0.38 | ||
Mean follow-up (months) | 67.1 ± 3.2 | 66.6 ± 2.5 | 0.36 | ||
Gender | |||||
Male | 46/98 | 46.93 | 24/44 | 54.54 | 0.40 |
Female | 52/98 | 53.06 | 20/44 | 45.46 | |
Side | |||||
Left | 54/98 | 55.1 | 27/44 | 61.36 | 0.48 |
Right | 44/98 | 44.9 | 17/44 | 38.64 | |
Perforation size | |||||
<50% | 49/98 | 50 | 8/44 | 18.18 | <0.001 |
>50% | 49/98 | 50 | 36/44 | 81.72 | |
Anterior | 16/98 | 16.32 | 11/44 | 25 | 0.83 |
Posterior | 33/98 | 33.67 | 25/44 | 75 | |
Recurrence rate | 15/98 | 15.30 | 4/44 | 9.09 | 0.37 |
Fascia Group (n = 98) | Cartilage Group (n = 44) | p-Value | |
---|---|---|---|
Air conductive (AC) (dB) | |||
Pre-operative | 24.6 ± 6.81 | 26.58 ± 7.81 | 0.128 |
500 | 35.2 ± 4.47 | 34.24 ± 4.01 | |
1000 | 34.73 ± 4.18 | 30.17 ± 3.15 | |
2000 | 20.9 ± 3.98 | 25.6 ± 3.74 | |
4000 | 6.21 ± 2.87 | 15.61 ± 2.23 | |
Post-operative 6 months | 11.23 ± 3.92 | 11.54 ± 4.18 | <0.001 |
500 | 14.78 ± 3.23 | 15.75 ±2.93 | |
1000 | 10.97 ± 3.46 | 9.78 ± 3.64 | |
2000 | 11.25 ± 3.49 | 10.18 ± 4.15 | |
4000 | 6.7 ± 2.5 | 5.87 ± 3.11 | |
Post-operative 5 years | 15.32 ± 4.39 | 11.68 ± 4.78 | <0.001 |
500 | 21.2 ± 4.68 | 14.56 ± 3.48 | |
1000 | 20.3 ± 3.69 | 14.98 ± 4.83 | |
2000 | 10.86 ± 3.16 | 11.38 ± 3.81 | |
4000 | 10.27 ± 3.95 | 5.13 ± 4.12 | |
Bone conductive (BC) | 5.73 ± 1.23 | 5.31 ± 0.95 | 0.46 |
500 | 5.81 ± 2.9 | 5.35 ± 3.28 | |
1000 | 5.32 ± 4.33 | 5.81 ± 3.42 | |
2000 | 5.08 ± 1.58 | 5.02 ± 2.85 | |
4000 | 4.93 ± 2.58 | 4.71 ± 2.63 | |
ABG (dB) | |||
Pre-operative | 20.3 ± 3.0 | 19.3 ± 2.7 | 0.04 |
Post-operative 6 months | 4.9 ± 0.9 | 5.3 ± 1.2 | 0.04 |
Post-operative 5 years | 10.0 ± 1.7 | 6.4 ± 2.0 | <0.001 |
Fascia Group (n = 98) | p-Value | Cartilage Group (n = 44) | p-Value | |||
---|---|---|---|---|---|---|
Perforated | Non-Perforated | Perforated | Non-Perforated | |||
Air conductive (AC) (dB) | 20.9 ± 2.4 | 15.4 ± 1.7 | <0.001 | 15.7 ± 1.3 | 12.3 ± 1.0 | <0.001 |
Bone conductive (BC) | 10.2 ± 1.8 | 5.2 ± 1.5 | <0.001 | 8.3 ± 2.4 | 5.8 ± 2.2 | <0.001 |
ABG (dB) | 10.5 ± 2.1 | 10.1 ± 1.7 | 0.002 | 7.3 ± 2 | 5.1 ± 1.5 | 0.01 |
Source Dependent Variables | Mean Square | F | Sig. | |
---|---|---|---|---|
Functional success | Sex | 0.041 | 0.161 | 0.689 |
Age | 1.107 | 4.591 | 0.036 | |
Side | 0.029 | 0.118 | 0.733 | |
Perforation type/size | ||||
>50% | 1.148 | 4.820 | 0.030 | |
<50% | 0.452 | 1.821 | 0.179 | |
Anterior | 0.160 | 1.153 | 0.287 | |
Posterior | 0.002 | 0.011 | 0.916 | |
Graft type | 0.257 | 1.239 | 0.269 |
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Ferlito, S.; Fadda, G.; Lechien, J.R.; Cammaroto, G.; Bartel, R.; Borello, A.; Cavallo, G.; Piccinini, F.; La Mantia, I.; Cocuzza, S.; et al. Type 1 Tympanoplasty Outcomes between Cartilage and Temporal Fascia Grafts: A Long-Term Retrospective Study. J. Clin. Med. 2022, 11, 7000. https://doi.org/10.3390/jcm11237000
Ferlito S, Fadda G, Lechien JR, Cammaroto G, Bartel R, Borello A, Cavallo G, Piccinini F, La Mantia I, Cocuzza S, et al. Type 1 Tympanoplasty Outcomes between Cartilage and Temporal Fascia Grafts: A Long-Term Retrospective Study. Journal of Clinical Medicine. 2022; 11(23):7000. https://doi.org/10.3390/jcm11237000
Chicago/Turabian StyleFerlito, Salvatore, Gianluca Fadda, Jerome Rene Lechien, Giovanni Cammaroto, Ricardo Bartel, Andrea Borello, Giovanni Cavallo, Francesca Piccinini, Ignazio La Mantia, Salvatore Cocuzza, and et al. 2022. "Type 1 Tympanoplasty Outcomes between Cartilage and Temporal Fascia Grafts: A Long-Term Retrospective Study" Journal of Clinical Medicine 11, no. 23: 7000. https://doi.org/10.3390/jcm11237000