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Surgery of tympanosclerosis

Published online by Cambridge University Press:  29 June 2007

Syed Akhtar Kamal*
Affiliation:
Department of Otolaryngology, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
*
Address for correspondence: Dr Syed Akhtar Kamal, PO Box 22490, Riyadh 11426, Saudi Arabia.

Abstract

Eighty-five cases with tympanosclerosis of the middle ear were treated surgically in this series from 1984 to 1995. Twelve of them were associated with cholesteatoma and had radical surgery performed. An attempt is made here to classify the tympanosclerosis on a patho-physiological basis. A planned two-stage procedure was performed in 36 cases after an interval of 18 months. The majority of patients had stapes surgery carried out by a two-stage procedure. One of the patients who did not have stapes surgery developed anacusis after 18 months post-operatively and in another patient recurrence was observed. Post-operative hearing improvement was found to be satisfactory in the short-term follow-up period of two to five years. The hearing improvement was analysed by using Chi-square value (x2) and also plotted in the Glasgow Benefit Plot.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

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References

Browning, G. G., Gatehouse, S. (1991) The Glasgow Benefit plot: a new method for reporting benefits from middle ear surgery. Laryngoscope 101: 180185.CrossRefGoogle ScholarPubMed
Friedmann, I. (1974) Epidermoid cholesteatoma. In: Pathology of the Ear. Blackwell Scientific Publication, Oxford, pp 83103.Google Scholar
Gibb, A. G. (1976) Tympanoscierosis. Proceedings of the Royal Society of Medicine 69: 155162.CrossRefGoogle Scholar
Gibb, A. G. (1979) Tympanosclerosis. In Scott Brown's Diseases of Ear, Nose and Throat. 4th Edition. Vol. 2. Butterworths, London, pp. 220235.Google Scholar
Gormley, P. K. (1987) Stapedectomy in tympanoscierosis: a report on 67 cases. American Journal of Otology 8: 123210.Google ScholarPubMed
Gristwood, R. E., Venerables, W. N. (1982) Cholesteatoma and tympanoscierosis. Cholesteatoma and mastoid surgery. In Proceedings of the Second International Conference, Kugler Publications; Amsterdam, pp. 133137.Google Scholar
Harris, I. (1961) Tympanoscierosis: A revived clinico pathologic entity. Laryngoscope 71: 14881533.CrossRefGoogle Scholar
House, W. F., Sheehy, J. L. (1960) Tympanoscierosis. Archives of Otolaryngology 72: 308313.CrossRefGoogle Scholar
House, W. F., Sheehy, J. L. (1962) Tympanoscierosis. Archives of Otolaryngology 76: 151157.Google Scholar
Plester, D. (1971) Tympanoscierosis. Journal of the Otolaryngology Society of Australia 3: 325326.Google Scholar
Politzer, A. (1883) Text Book of Diseases of the Ear and Adjacent Organs. (Cassels, J. P., ed.), Bailliere, Tindall and Cox, London.Google Scholar
Sadé, J. (1967) Ciliary activity and middle clearance. Archives of Otolaryngology 86: 128135.CrossRefGoogle ScholarPubMed
Schiff, M., Yoo, I. J. (1985) Immunologic aspects of otologic disease: An overview. Laryngoscope 95: 256269.CrossRefGoogle ScholarPubMed
Smyth, G. D. L. (1972) Tympanoscierosis. Journal of Laryngology and Otology 86: 914.CrossRefGoogle Scholar
Smyth, G. D. L. (1980) Tympanosclerosis. Clinical Otolaryngology 2: 196200.Google Scholar
Smyth, G. D. L., Patterson, C. (1985) Results of middle ear construction. Do patients and surgeon agree? American Journal of Otology 6: 276279.Google Scholar
Tos, M., Bak Pederson, K. (1974) Middle ear mucosa in tympanoscierosis. Journal of Laryngology and Otology 88: 119126.CrossRefGoogle Scholar
Von Haacke, N. P. (1985) Juvenile stapedectomy. Clinical Otolaryngology 10: 913.CrossRefGoogle ScholarPubMed
Waib, H. (1893) In Schwartze's Handbuch der Ohrenheukuhde, Hirschwald, Berlin. 2: pp 195.Google Scholar
Zollner, F. (1956) Tympanosclerosis. Journal of Laryngology and Otology 70: 7785.CrossRefGoogle ScholarPubMed