Selection of surgical interference in mastoidectomy with tympanoplasty.
OBJECTIVE
To discuss the long-term results of different surgical patterns for chronic suppurative otitis media.


METHODS
The data of 231 cases of chronic suppurative otitis media who underwent open-mastoidectomy with tympanoplasty (OMT), combined approach tympanoplasty (CAT), and intact bridge mastotymplasty (IBM) and were followed up for 2 - 5 years from 1990 to 2001 were collected to analyze the surgical technology, long-term recurrence rate, and level of hearing improvement.


RESULTS
The improved hearing threshold level of air conduction in 0.5, 1, 2 KHz was 21 dBHL after IBM, significantly higher than that after OMT (12 dBHL) and that after CAT (9.5 dBHL). The long-term recurrence rate was 24.4% after CAT, higher than that after IBM (8.3%) and that after OMT (5.8%).


CONCLUSIONS
IBM is a good choice for preserving or improving hearing based on eradication of the focus among patients with chronic suppurative otitis media.
Liu
Yang
Y
Navy General Hospital PLA, Beijing 100037, China.
Sun
Jianjun
J
Hu
Ning
N
Qian
Jin
J
D000293:Adolescent; D000328:Adult; D001309:Auditory Threshold; D002648:Child; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery*; D010035:Otitis Media, Suppurative / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000379:methods*