Abstract:

Aim: The study aims to evaluate our surgical results in terms of graft success and audiology in patients who underwent tympanoplasty and tympanomastoidectomy due to chronic otitis media (COM) in our clinic, according to the current literature. Material and Methods: 62 patients who underwent tympanoplasty and tympanomastoidectomy under general anesthesia due to COM in our Ear Nose and Throat Clinic between May 2018 and May 2023 were included in the study. With the preoperative anamnesis, physical examination, and audiological evaluations of the patients; Hearing tests and membrane examinations in the postoperative period were evaluated retrospectively and statistically by including age and gender variables. Results: The average follow-up period of the patients was 9.9 months. A statistically significant improvement in postoperative hearing results was detected in the preoperative and postoperative air bone gap (ABG) evaluation (p<0.001). Our graft success rate was found to be 91.9%. No improvement in hearing was detected in 16% of the patients. ABG gain greater than 20% was detected in 69.3% of the patients. No statistical difference was detected in graft success and audiological evaluation according to age. ABG gain was found to be higher in the female gender than in the male gender (p=0.034). Conclusion: Tympanoplasty is a successful and frequently performed surgery in chronic otitis patients in terms of repairing tympanic membrane perforations, preventing complications, and reconstructing hearing.

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