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

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@article{33f0688397cb4ddca840fb35e4694f91,
title = "Graft take-rates after tympanoplasty: results from a prospective ear surgery database",
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.",
author = "Andersen, {Steven Arild Wuyts} and Kristine Aabenhus and Henrik Glad and S{\o}rensen, {Mads S{\o}lvsten}",
year = "2014",
month = "12",
doi = "10.1097/MAO.0000000000000537",
language = "English",
volume = "35",
pages = "e292--7",
journal = "Otology and Neurotology",
issn = "1531-7129",
publisher = "Lippincott Williams & Wilkins",
number = "10",

}

RIS

TY - JOUR

T1 - Graft take-rates after tympanoplasty

T2 - results from a prospective ear surgery database

AU - Andersen, Steven Arild Wuyts

AU - Aabenhus, Kristine

AU - Glad, Henrik

AU - Sørensen, Mads Sølvsten

PY - 2014/12

Y1 - 2014/12

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.

U2 - 10.1097/MAO.0000000000000537

DO - 10.1097/MAO.0000000000000537

M3 - Journal article

VL - 35

SP - e292-7

JO - Otology and Neurotology

JF - Otology and Neurotology

SN - 1531-7129

IS - 10

ER -

ID: 44956327