Graft Take-Rates After Tympanoplasty: results from a prospective ear surgery database
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Graft Take-Rates After Tympanoplasty : results from a prospective ear surgery database. / Andersen, Steven Arild Wuyts; Aabenhus, Kristine; Glad, Henrik; Sørensen, Mads Sølvsten.
In: Otology & Neurotology, Vol. 35, No. 10, 12.2014, p. e292–e297.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
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
C2 - 25118580
VL - 35
SP - e292–e297
JO - Otology & Neurotology
JF - Otology & Neurotology
SN - 1531-7129
IS - 10
ER -
ID: 135483772