title: Retraction of the pars tensa--long-term results of surgical treatment.
abstract: Severe retraction of the pars tensa usually requires surgical treatment. Long-term follow-up of patients is essential as they may still suffer from eustachian tube dysfunction, resulting in a recurrence of the condition. Seventy-two tympanoplasties for retraction of the pars tensa (32 posterior retraction pockets and 40 completely collapsed tympanic membranes) were followed up for between 3 to 8 years. The long-term outcome of surgery for the posterior retraction pockets was favourable with at least 80% of the patients free of subsequent recurrence of the retraction pocket. The hearing gain and the post-operative hearing results were good. The surgical outcome for the completely collapsed tympanic membranes was disappointing with re-collapse in 50% of patients. Consequently, the postoperative hearing results were poor.
authors.affiliation: Ipswich Hospital, Suffolk, UK.
authors.forename: M W
authors.initials: MW
authors.lastname: Yung
mesh_terms: D001301:Audiometry, Pure-Tone; D004427:Ear Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D004429:Ear Ossicles / Q000473:pathology; D005500:Follow-Up Studies; D006311:Hearing Disorders / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D012189:Retrospective Studies; D014432:Tympanic Membrane / Q000473:pathology* / Q000601:surgery*