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Surgical management of only hearing ears with positive indications

Published online by Cambridge University Press:  15 August 2006

M Sakagsami ,
T Muto ,
O Adachi ,
Y Mishiro  and
K Fukazawa
M Sakagsami
Affiliation:
Department of Otolaryngology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
T Muto
Affiliation:
Department of Otolaryngology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
O Adachi
Affiliation:
Department of Otolaryngology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
Y Mishiro
Affiliation:
Department of Otolaryngology, Osaka University Graduate School of Medicine, Suita, Japan
K Fukazawa
Affiliation:
Department of Otolaryngology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
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Abstract

Positive surgical indications for an only hearing ear were evaluated in order to improve patients' quality of life. Fifteen cases of surgery involving an only hearing ear over the past eight years were retrospectively reviewed. Of eight perforated chronic otitis media cases, seven underwent type one tympanoplasty and one underwent simple underlay myringoplasty regardless of otorrhoea at the time of surgery. Of six cholesteatoma cases, two received the canal wall up method and four received the canal wall down method. Ossiculoplasty was carefully performed in six cases. Hearing was improved in seven cases, whereas it remained unchanged in seven cases and deteriorated in one case. Of nine patients, two did not need a hearing aid after surgery. Five patients with severe combined hearing loss (>90 dB) were able to communicate with a hearing aid, alleviating their anxiety regarding hearing loss. Only hearing ears with chronic otitis media and cholesteatoma can be successfully treated by tympanoplasty with or without ossiculoplasty.

Keywords

DeafnessSurgeryOtitis Media, ChronicCholesteatomaHearing Loss, Bilateral
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 11 , November 2006 , pp. 972 - 975
Copyright
2006 JLO (1984) Limited

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