PMID- 23440436
OWN - NLM
STAT- MEDLINE
DCOM- 20140922
LR  - 20211021
IS  - 1434-4726 (Electronic)
IS  - 0937-4477 (Linking)
VI  - 271
IP  - 2
DP  - 2014 Feb
TI  - Cartilage tympanoplasty: a reliable technique for smokers.
PG  - 255-60
LID - 10.1007/s00405-013-2410-7 [doi]
AB  - The aim of this study was to report our experience with cartilage tympanoplasty 
      (CT) in smokers and compare it with that of non-smokers using a retrospective 
      chart review at a tertiary referral center. Between September 2008 and September 
      2010, cartilage tympanoplasty was performed in 52 patients. Among them, 27 were 
      active smokers and 25 former or non-smokers. The entire tympanic membrane was 
      replaced with conchal cartilage, shaped either as a shield for cases with intact 
      canal wall mastoidectomies, or crashed for cases with canal wall down procedures. 
      The mean post-operative follow-up was 12 months (range 6-18 months). A complete 
      pre- and post-operative audiologic evaluation was obtained in all patients. Graft 
      take was successful in all patients. The overall average pre-operative and 
      post-operative pure tone average air-bone gaps (PTA-ABG) was 52.2 dB +/- 17.7 dB 
      and 35.4 dB +/- 17.9 dB, respectively, with an overall improvement of 16.8 dB (p < 
      0.001). A post-operative PTA-ABG of 25 dB or less was achieved in 39 (75 %) 
      patients (p < 0.001). In smokers, the hearing improvement was 17.6 dB (p < 0.001) 
      with a PTA-ABG of 25 dB or less in 19 (70 %). In non-smokers, the average hearing 
      improvement was 16.8 dB (p < 0.0005) with a post-operative PTA-ABG of 25 dB or 
      less in 19 (76 %), (p < 0.001). The results showed that the CT technique is a 
      very effective procedure for smokers. Excellent graft take and satisfactory 
      hearing results can be accomplished regardless of smoking habits.
FAU - Kyrodimos, E
AU  - Kyrodimos E
AD  - Department of Otolaryngology, Head and Neck Surgery, Hippokration General 
      Hospital, National University of Athens, 114 Queen Sofia Avenue, 11527, Athens, 
      Greece.
FAU - Stamatiou, G A
AU  - Stamatiou GA
FAU - Margaritis, E
AU  - Margaritis E
FAU - Kikidis, D
AU  - Kikidis D
FAU - Sismanis, A
AU  - Sismanis A
LA  - eng
PT  - Journal Article
DEP - 20130226
PL  - Germany
TA  - Eur Arch Otorhinolaryngol
JT  - European archives of oto-rhino-laryngology : official journal of the European 
      Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the 
      German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
JID - 9002937
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Audiometry, Pure-Tone
MH  - Cartilage/*transplantation
MH  - Case-Control Studies
MH  - Ear Auricle
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - *Smoking
MH  - Treatment Outcome
MH  - Tympanic Membrane Perforation/*surgery
MH  - Tympanoplasty/*methods
MH  - Young Adult
EDAT- 2013/02/27 06:00
MHDA- 2014/09/23 06:00
CRDT- 2013/02/27 06:00
PHST- 2012/09/17 00:00 [received]
PHST- 2013/02/18 00:00 [accepted]
PHST- 2013/02/27 06:00 [entrez]
PHST- 2013/02/27 06:00 [pubmed]
PHST- 2014/09/23 06:00 [medline]
AID - 10.1007/s00405-013-2410-7 [doi]
PST - ppublish
SO  - Eur Arch Otorhinolaryngol. 2014 Feb;271(2):255-60. doi: 
      10.1007/s00405-013-2410-7. Epub 2013 Feb 26.