Graft take-rates after tympanoplasty: results from a prospective ear surgery database

Steven Arild Wuyts Andersen; Kristine Aabenhus; Henrik Glad; Mads Sølvsten Sørensen

doi:10.1097/MAO.0000000000000537

Graft take-rates after tympanoplasty: results from a prospective ear surgery database

Steven Arild Wuyts Andersen, Kristine Aabenhus, Henrik Glad, Mads Sølvsten Sørensen

Afdeling for Øre-Næse-Halskirurgi og Audiologi

23 Citationer (Scopus)

Abstract

OBJECTIVE: To present a prospective ear surgery database and investigate the graft take-rate and prognostic factors for graft take-rate in tympanoplasty using the database.

STUDY DESIGN: Prospective database study.

SETTING: Tertiary referral center.

PATIENTS: A total of 1606 cases undergoing tympanoplasty types I to IV were registered in the database in the period from February 2004 to November 2013.

INTERVENTION: A total of 837 cases underwent myringoplasty/tympanoplasty type I.

MAIN OUTCOME MEASURE: Graft take-rate and prognostic factors (age, discharge at time of surgery, tuba function, technique, graft material, and revision surgery) for tympanoplasty type I were studied. A comparison with the graft take-rates for tympanoplasty types II to IV and/or cholesteatoma was made.

RESULTS: A user-friendly ear surgery database with fast data entry and direct import of audiometric data was developed. The graft take-rate was found to be 93.0% at 2 to 6 months and 86.6% at more than 12 months. Except for a discharging ear at the time of surgery, no significant differences using χ² test of association were found when comparing graft take-rates for different prognostic factors or more advanced tympanoplasty with or without cholesteatoma. A long-term graft take-rate overestimation of 6% was found if cases with defaulted follow-up because of early reperforation were not included.

CONCLUSION: A prospective database can be used to study prognostic factors and reduce bias in reporting the graft take-rate. Prospective databases are needed for high-quality longitudinal studies but require a continuous and daily effort of involved surgeons and therefore need to be convenient and fast to use.

Originalsprog	Engelsk
Tidsskrift	Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Vol/bind	35
Udgave nummer	10
Sider (fra-til)	e292-7
ISSN	1531-7129
DOI	https://doi.org/10.1097/MAO.0000000000000537
Status	Udgivet - dec. 2014

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10.1097/MAO.0000000000000537

Citationsformater

Andersen, S. A. W., Aabenhus, K., Glad, H., & Sørensen, M. S. (2014). Graft take-rates after tympanoplasty: results from a prospective ear surgery database. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 35(10), e292-7. https://doi.org/10.1097/MAO.0000000000000537

Graft take-rates after tympanoplasty: results from a prospective ear surgery database. / Andersen, Steven Arild Wuyts; Aabenhus, Kristine; Glad, Henrik et al.
I: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, Bind 35, Nr. 10, 12.2014, s. e292-7.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Andersen, SAW, Aabenhus, K, Glad, H & Sørensen, MS 2014, 'Graft take-rates after tympanoplasty: results from a prospective ear surgery database', Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, bind 35, nr. 10, s. e292-7. https://doi.org/10.1097/MAO.0000000000000537

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abstract = "OBJECTIVE: To present a prospective ear surgery database and investigate the graft take-rate and prognostic factors for graft take-rate in tympanoplasty using the database.STUDY DESIGN: Prospective database study.SETTING: Tertiary referral center.PATIENTS: A total of 1606 cases undergoing tympanoplasty types I to IV were registered in the database in the period from February 2004 to November 2013.INTERVENTION: A total of 837 cases underwent myringoplasty/tympanoplasty type I.MAIN OUTCOME MEASURE: Graft take-rate and prognostic factors (age, discharge at time of surgery, tuba function, technique, graft material, and revision surgery) for tympanoplasty type I were studied. A comparison with the graft take-rates for tympanoplasty types II to IV and/or cholesteatoma was made.RESULTS: A user-friendly ear surgery database with fast data entry and direct import of audiometric data was developed. The graft take-rate was found to be 93.0% at 2 to 6 months and 86.6% at more than 12 months. Except for a discharging ear at the time of surgery, no significant differences using χ² test of association were found when comparing graft take-rates for different prognostic factors or more advanced tympanoplasty with or without cholesteatoma. A long-term graft take-rate overestimation of 6% was found if cases with defaulted follow-up because of early reperforation were not included.CONCLUSION: A prospective database can be used to study prognostic factors and reduce bias in reporting the graft take-rate. Prospective databases are needed for high-quality longitudinal studies but require a continuous and daily effort of involved surgeons and therefore need to be convenient and fast to use.",

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AU - Andersen, Steven Arild Wuyts

AU - Aabenhus, Kristine

AU - Glad, Henrik

AU - Sørensen, Mads Sølvsten

PY - 2014/12

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N2 - OBJECTIVE: To present a prospective ear surgery database and investigate the graft take-rate and prognostic factors for graft take-rate in tympanoplasty using the database.STUDY DESIGN: Prospective database study.SETTING: Tertiary referral center.PATIENTS: A total of 1606 cases undergoing tympanoplasty types I to IV were registered in the database in the period from February 2004 to November 2013.INTERVENTION: A total of 837 cases underwent myringoplasty/tympanoplasty type I.MAIN OUTCOME MEASURE: Graft take-rate and prognostic factors (age, discharge at time of surgery, tuba function, technique, graft material, and revision surgery) for tympanoplasty type I were studied. A comparison with the graft take-rates for tympanoplasty types II to IV and/or cholesteatoma was made.RESULTS: A user-friendly ear surgery database with fast data entry and direct import of audiometric data was developed. The graft take-rate was found to be 93.0% at 2 to 6 months and 86.6% at more than 12 months. Except for a discharging ear at the time of surgery, no significant differences using χ² test of association were found when comparing graft take-rates for different prognostic factors or more advanced tympanoplasty with or without cholesteatoma. A long-term graft take-rate overestimation of 6% was found if cases with defaulted follow-up because of early reperforation were not included.CONCLUSION: A prospective database can be used to study prognostic factors and reduce bias in reporting the graft take-rate. Prospective databases are needed for high-quality longitudinal studies but require a continuous and daily effort of involved surgeons and therefore need to be convenient and fast to use.

AB - OBJECTIVE: To present a prospective ear surgery database and investigate the graft take-rate and prognostic factors for graft take-rate in tympanoplasty using the database.STUDY DESIGN: Prospective database study.SETTING: Tertiary referral center.PATIENTS: A total of 1606 cases undergoing tympanoplasty types I to IV were registered in the database in the period from February 2004 to November 2013.INTERVENTION: A total of 837 cases underwent myringoplasty/tympanoplasty type I.MAIN OUTCOME MEASURE: Graft take-rate and prognostic factors (age, discharge at time of surgery, tuba function, technique, graft material, and revision surgery) for tympanoplasty type I were studied. A comparison with the graft take-rates for tympanoplasty types II to IV and/or cholesteatoma was made.RESULTS: A user-friendly ear surgery database with fast data entry and direct import of audiometric data was developed. The graft take-rate was found to be 93.0% at 2 to 6 months and 86.6% at more than 12 months. Except for a discharging ear at the time of surgery, no significant differences using χ² test of association were found when comparing graft take-rates for different prognostic factors or more advanced tympanoplasty with or without cholesteatoma. A long-term graft take-rate overestimation of 6% was found if cases with defaulted follow-up because of early reperforation were not included.CONCLUSION: A prospective database can be used to study prognostic factors and reduce bias in reporting the graft take-rate. Prospective databases are needed for high-quality longitudinal studies but require a continuous and daily effort of involved surgeons and therefore need to be convenient and fast to use.

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DO - 10.1097/MAO.0000000000000537

M3 - Journal article

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JO - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

JF - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

IS - 10

ER -

Graft take-rates after tympanoplasty: results from a prospective ear surgery database

Abstract

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