Insertion of middle-ear Silastic sheeting during tympanoplasty: hearing outcomes.
OBJECTIVE
To study the effect of Silastic® sheeting placed in the middle ear during tympanoplasty, including the effect on hearing.


METHODS
Retrospective study.


BACKGROUND
Chronic inflammation of the middle ear is common. Surgical treatment sometimes results in middle-ear adhesions and hearing deterioration.


METHODS
We selected 106 patients with chronic otitis media, middle-ear adhesions and intact ossicles, based on intra-operative findings. These patients underwent single-stage tympanoplasty either with or without insertion of Silastic sheeting. Audiometry was undertaken pre-operatively and one and 12 months post-operatively.


RESULTS
Patients who had undergone Silastic sheet insertion showed significantly better air conduction, bone conduction and air-bone gap averages one year post-operatively, compared with those who had not.
Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Egypt. shawky_morsy2003@yahoo.com
S M
SM
Elmorsy
H E
HE
Amer
D000293:Adolescent; D000328:Adult; D001844:Bone Conduction; D002908:Chronic Disease; D004129:Dimethylpolysiloxanes / Q000627:therapeutic use*; D004432:Ear, Middle / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010033:Otitis Media / Q000601:surgery*; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000009:adverse effects / Q000379:methods*; D014945:Wound Healing; D055815:Young Adult
D004129:Dimethylpolysiloxanes; C013830:baysilon