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Insertion of middle-ear Silastic sheeting during tympanoplasty: hearing outcomes

Published online by Cambridge University Press:  04 November 2010

S M Elmorsy  and
H E Amer
S M Elmorsy*
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Egypt
H E Amer
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Egypt
*
Address for correspondence: Dr Shawky M Elmorsy, Assistant Professor of Otolaryngology, Mansoura University, PO 35516, Elgomhoria street, Otorhinolaryngology Department, Mansoura Faculty of Medicine, Mansoura, Dakhlia, Egypt Fax: +20502267016 E-mail: [email protected]
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Abstract

Objective:

To study the effect of Silastic® sheeting placed in the middle ear during tympanoplasty, including the effect on hearing.

Design:

Retrospective study.

Background:

Chronic inflammation of the middle ear is common. Surgical treatment sometimes results in middle-ear adhesions and hearing deterioration.

Materials and methods:

We selected 106 patients with chronic otitis media, middle-ear adhesions and intact ossicles, based on intra-operative findings. These patients underwent single-stage tympanoplasty either with or without insertion of Silastic sheeting. Audiometry was undertaken pre-operatively and one and 12 months post-operatively.

Results:

Patients who had undergone Silastic sheet insertion showed significantly better air conduction, bone conduction and air–bone gap averages one year post-operatively, compared with those who had not.

Keywords

Middle EarAdhesionsOtologic Surgical ProceduresTympanoplastySilastic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 445 - 448
Copyright
Copyright © JLO (1984) Limited 2010

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