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Revista de otorrinolaringología y cirugía de cabeza y cuello
versión On-line ISSN 0718-4816
Resumen
GARFIAS L, Raúl et al. Tympanoplasty: Review and experience of 4 years at the Hospital Clínico de la Universidad Católica de Chile. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2011, vol.71, n.3, pp.209-216. ISSN 0718-4816. http://dx.doi.org/10.4067/S0718-48162011000300004.
Introduction: Since the introduction of this surgical technique in the second half of the nineteenth century, there have been many national and international publications on various experiences and new techniques. In our hospital this surgery is part of the routine clinical practice, so we decided to conduct this study to review our experience over the last 4 years. Aim: The general objective is to review the experience of tympanoplasty in the Hospital Clínico de la Universidad Católica de Chile in the last 4 years. The specific objectives are to review the epidemiology of patients undergoing this surgery, the surgical techniques used and the anatomical and audiological results achieved. Material and method: Descriptive and retrospective study. We reviewed all the clinical records and hearing tests in patients undergoing tympanplasty who met inclusion and exclusion criteria clearly defined. We only included patients whose surgery was performed between January 2007 and December 2010. Results: Anatomical success was archieved in 82.4% of our patients, with a complication rate of 17.57%. With regard to hearing results, there was a total audiological success of 87.08% and only 13% of our patients experienced worsening of their audition. Conclusions: The anatomical and audiological results obtained are comparable to those published in the national literature in the last decade. Our experience shows a good performance with the techniques and grafts used, and good results in surgeries performed by residents, similar to those obtained by staffs.
Palabras clave : Tympanoplasty; miringoplasty; chronic otitis media; adhesive otitis media.