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Gastroesophageal reflux disease and tympanoplasty surgical outcome: is there a relationship?

Published online by Cambridge University Press:  12 April 2012

T E Habesoglu ,
M Habesoglu ,
C Kalaycik ,
A Tek ,
M Surmeli  and
E Egeli
T E Habesoglu*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
M Habesoglu
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
C Kalaycik
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
A Tek
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
M Surmeli
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
E Egeli
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
*
Address for correspondence: Dr Tulay Erden Habesoglu, Department of Otolaryngology-Head and Neck Surgery, Haydarpaşa Numune Education and Research Hospital, No. 40, Tıbbıye Street, Postal code: 34668, ÜSKÜDAR/İSTANBUL/TÜRKİYE E-mail: [email protected]
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Abstract

Objective:

To investigate the possible clinical relationship between gastroesophageal reflux disease and the type one tympanoplasty surgical outcomes of adults with chronic otitis media, by using a simple, cost-effective, reliable questionnaire and physical findings.

Methods:

Fifty-two of 147 patients undergoing type one tympanoplasty were studied. Gastroesophageal reflux disease symptoms were evaluated using the Frequency Scale for the Symptoms of Gastroesophageal Reflux Disease questionnaire. Laryngoscopic physical findings of laryngopharyngeal reflux were evaluated using the Reflux Finding Score. A successful outcome was defined as an intact tympanic membrane. Correlations between the two assessment tool results and the patient's surgical success were calculated.

Results:

The gastroesophageal reflux disease questionnaire score was significantly higher in patients with unsuccessful tympanic membrane closure (group one) than in patients with successful closure (group two) (p < 0.05). The Reflux Finding Score was also significantly higher in group one than group two (p < 0.05). There was a significant positive relationship between the gastroesophageal reflux disease questionnaire score and the Reflux Finding Score (p < 0.01).

Conclusion:

Gastroesophageal reflux disease may be a significant prognostic factor for tympanoplasty failure. Therefore, reflux investigation may be important during the treatment of chronic otitis media, and positive cases may need reflux treatment as well as ear disease treatment.

Keywords

MyringoplastyGastroesophageal RefluxTreatment OutcomePrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 6 , June 2012 , pp. 580 - 585
Copyright
Copyright © JLO (1984) Limited 2012

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