Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-19T09:58:51.408Z Has data issue: false hasContentIssue false
  • English
  • Français

Effects of mastoid and middle-ear volume on graft success and hearing outcomes in paediatric tympanoplasty

Published online by Cambridge University Press:  07 January 2022

D Baklaci Open the ORCID record for D Baklaci [Opens in a new window] ,
E Bilgin ,
E K Çelik ,
A Kılıç ,
D Erdem  and
S S Eliçora
D Baklaci*
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
E Bilgin
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
E K Çelik
Affiliation:
Department of Otorhinolaryngology, Diskapi Training and Research Hospital, Ankara, Turkey
A Kılıç
Affiliation:
Department of Radiology, Kahramankazan State Hospital, Ankara, Turkey
D Erdem
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
S S Eliçora
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
*
Author for correspondence: Dr Deniz Baklaci, No: 44A/9, Vatan Avenue, Zonguldak, Turkey E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To examine the effects of mastoid and middle-ear volume on the anatomical and functional success of type 1 tympanoplasty in paediatric patients.

Methods

This study included 45 paediatric patients who underwent type 1 cartilage tympanoplasty. Patients’ demographic data, pre- and post-operative audiological evaluation results, and post-operative graft status were evaluated. Middle-ear and mastoid cavity volumes were calculated (in cubic centimetres) using temporal bone high-resolution computed tomography. Middle-ear and mastoid cavity volume values were compared between patients with and without post-operative anatomical and functional success.

Results

Anatomical success was achieved in 82.2 per cent of patients (n = 37), and functional success in 68.9 per cent (n = 31). When anatomical success and failure groups were compared, a statistically significant difference was found in mean mastoid volume (p = 0.037), while there was no significant difference in relation to mean middle-ear volume (p = 0.827). The comparison of functional success and failure groups revealed no significant difference in mean mastoid volume (p = 0.492) or middle-ear volume (p = 0.941).

Conclusion

The study showed that mastoid pneumatisation volume affects surgical success in paediatric tympanoplasty.

Keywords

ChildTympanoplastyMastoidEar, MiddleTomography
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 5 , May 2022 , pp. 404 - 409
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr D Baklaci takes responsibility for the integrity of the content of the paper

References

Zollner, F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol 1955;69:637–52CrossRefGoogle ScholarPubMed
Yegin, Y, Celik, M, Simsek, BM, Masallah, B, Olgun, B, Aylin, K et al. Impact of the degree of the mastoid pneumatization on cartilage type 1 tympanoplasty success. J Craniofac Surg 2016;27:695–8CrossRefGoogle ScholarPubMed
Virapongse, C, Rothman, SL, Kier, EL, Sarwar, M. Computed tomographic anatomy of the temporal bone. AJR Am J Roentgenol 1982;139:739–49CrossRefGoogle ScholarPubMed
Kavakli, A, Ogeturk, M, Yildirim, H, Karakas, S, Karlidag, T, Sarsilmaz, M. Volume assessment of age-related conversion of the tympanic cavity by helical computerized tomography scanning. Saudi Med J 2004;235:1378–81Google Scholar
Ikui, A, Sando, I, Haginomori, S, Sudo, M. Postnatal development of the tympanic cavity: a computer-aided reconstruction and measurement study. Acta Otolaryngol 2000;120:375–9Google ScholarPubMed
Lee, DH, Jun, BC, Kim, DG, Jung, MK, Yeo, SW. Volume variation of mastoid pneumatization in different age groups: a study by three-dimensional reconstruction based on computed tomography images. Surg Radiol Anat 2005;27:37–42CrossRefGoogle ScholarPubMed
Diamant, M. Otitis and pneumatization of mastoid bone. Acta Otolaryngol 1940;60:11–14Google Scholar
Koc, A, Ekinci, G, Bilgili, AM, Akpinar, IN, Yakut, H, Han, T. Evaluation of the mastoid air cell system by high resolution computed tomography: three-dimensional multiplanar volume rendering technique. J Laryngol Otol 2003;117:595–8CrossRefGoogle ScholarPubMed
Inwood, JL, Wallace, HC, Clarke, SE. Endaural or postaural incision for myringoplasty: does it make a difference to the patient? Clin Otolaryngol Allied Sci 2003;28:396–8CrossRefGoogle ScholarPubMed
Kaya, I, Benzer, M, Gode, S, Sahin, F, Bilgen, C, Kirazli, T. Pediatric type 1 cartilage tympanoplasty outcomes: a comparison of short and long term hearing results. Auris Nasus Larynx 2018;45:722–7CrossRefGoogle Scholar
Csakanyi, Z, Katona, G, Josvai, E, Mohos, F, Sziklai, I. Volume and surface of the mastoid cell system in otitis media with effusion in children: a case-control study by three-dimensional reconstruction of computed tomographic images. Otol Neurotol 2011;32:64–70CrossRefGoogle ScholarPubMed
Luntz, M, Malatskey, S, Tan, M, Bar-Meir, E, Ruimi, D. Volume of mastoid pneumatization: three-dimensional reconstruction with ultrahigh-resolution computed tomography. Ann Otol Rhinol Laryngol 2001;110:486–90CrossRefGoogle ScholarPubMed
Silbiger, H. Measurement of mastoid pneumatisation in man. Acta Anat 1950;11:215–45CrossRefGoogle ScholarPubMed
Molvaer, OI, Vallersnes, FM, Kringlebotn, M. The size of the middle ear and the mastoid air cell. Acta Otolaryngol 1978;85:24–32CrossRefGoogle ScholarPubMed
Andreasson, L, Mortensson, W. Comparison between the area and the volume of the air-filled ear space. Acta Radiol Diagn 1975;16:347–52CrossRefGoogle ScholarPubMed
Horos. In: https://horosproject.org/ [4 March 2022]Google Scholar
Kim, HJ, Kim, MJ, Jeon, JH, Kim, JM, Moon, IS, Lee, WS. Functional and practical outcomes of inlay butterfly cartilage tympanoplasty. Otol Neurotol 2014;35:1458–62CrossRefGoogle ScholarPubMed
Merenda, D, Koike, K, Shafiei, M, Ramadan, H. Tympanometric volume: a predictor of success of tympanoplasty in children. Otolaryngol Head Neck Surg 2007;136:189–92CrossRefGoogle ScholarPubMed
Aoki, K, Mitani, Y, Tuji, T, Hamada, Y, Utahashi, H, Moriyama, H. Relationship between middle ear pressure, mucosal lesion, and mastoid pneumatization. Laryngoscope 1998;108:1840–5CrossRefGoogle ScholarPubMed
Casale, G, Shaffrey, E, Kesser, BW. Correlation between hearing loss and middle ear volume in patients with a tympanic membrane perforation. Laryngoscope 2020;130:228–32CrossRefGoogle ScholarPubMed
Hamada, Y, Utahashi, H, Aoki, K. Physiological gas exchange in the middle ear cavity. Int J Pediatr Otorhinolaryngol 2002;64:41–9CrossRefGoogle ScholarPubMed
Kurkcuoglu, A, Kurkcuoglu, SS, Inancli, HM, Enoz, M, Pelin, C, Zagyapan, R. Measurement of tympanic cavity volume by the Cavalieri principle in Turkish population. Kulak Burun Bogaz Ihtis Derg 2010;20:137–41Google ScholarPubMed
Holmquist, J, Bergström, B. The mastoid air cell system in ear surgery. Arch Otolaryngol 1978;104:127–9CrossRefGoogle ScholarPubMed
Takahashi, H, Sato, H, Nakamura, H, Naito, Y, Umeki, H. Correlation between middle-ear pressure-regulation functions and outcome of type-I tympanoplasty. Auris Nasus Larynx 2007;34:173–6CrossRefGoogle ScholarPubMed
Metin, M, Kaptan, ZK, Dogan, S, Yazici, H, Bayraktar, C, Gocmen, H et al. Effect of preoperative mastoid ventilation on tympanoplasty success. Int J Otolaryngol 2014;2014:169123CrossRefGoogle ScholarPubMed
Mehta, RP, Rosowski, JJ, Voss, SE, O'Neil, E, Merchant, SN. Determinants of hearing loss in perforations of the tympanic membrane. Otol Neurotol 2006;27:136–43CrossRefGoogle ScholarPubMed