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Revision tympanoplasty*

Published online by Cambridge University Press:  29 June 2007

Mirko Tos  and
Torben Lau
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Summary

The terms ‘planned two-stage operations’, ‘planned second-look operations’, ‘previous surgery’, and ‘revision surgery’ are discussed on the basis of our series of 2,303 ears operated upon from January 1965 to December 1980. We have not performed any planned two-stage operations. All operations prior to the first operation in our department are denoted ‘previous surgery’. ‘Revision surgery’ denotes all reoperations performed either in this department or elsewhere during the observation period until the end of 1984, and the revision rate is analysed in patients with different pathological conditions. ‘Revision surgery’ was performed in 15.6 percent of 740 ears with cholesteatoma (in 13.9 percent once, in 1.6 percent twice, and in 0.1 percent three times), and ‘previous surgery’ in 3 percent.

Among 229 ears with chronic granulating otitis, revision surgery had been performed in 12.2 percent up to December 1982. By December 1984, this figure had risen to 16.1 percent. ‘Previous surgery’ had been performed in 18.3 percent. A total of 38.4 percent had at least two operations.

The revision rate in other conditions varied from 10 percent (sequelae to chronic otitis) to 34 percent (post-inflammatory acquired atresia). These rates are discussed and the functional results presented.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 10 , October 1986 , pp. 1097 - 1105
Copyright
Copyright © JLO (1984) Limited 1986

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Footnotes

*

Presented by M. Tos at a Meeting of the Section of Otology, The Royal Society of Medicine, on 3rd May 1985.

References

Austin, D. F. (1969) Types and indications of staging. Archives of Otolaryngology, 89: 235–242.Google Scholar
Sheehy, J. L. and Crabtree, J. A. (1973) Tympanoplasty: Staging the operation. Laryngoscope, 83: 1594–1621.CrossRefGoogle ScholarPubMed
Smyth, G. D. L. and Kerr, A. G. (1970) Staged tympanoplasty. Journal of Laryngology and Otology, 90: 597–621.CrossRefGoogle Scholar
Symth, G. D. L. (1980) Chronic Ear Disease, Churchill Livingstone.Google Scholar
Tabb, H. C. (1963) The surgical management of chronic ear disease with special reference to staged surgery. Laryngoscope, 73: 363–383.CrossRefGoogle ScholarPubMed
Tos, M. (1976) Late results in tympanoplasty. Staging the operation. Acta Otolaryngologica, 82: 282–285.CrossRefGoogle ScholarPubMed
Tos, M. (1982a) Modification of combined-approach tympanoplasty in attic cholesteatoma. Archives of Otolaryngology, 108: 772–778.CrossRefGoogle ScholarPubMed
Tos, M. (1982b) Short- and long-term results with ossiculoplasty in cholesteatomatous ears. In: Sadé, J. (Ed.): Cholesteatoma and Mastoid Surgery. Kugler (Amsterdam), pp. 547–558.Google Scholar