title: [Prognostic factors in patients operated on eardrum perforation with intact ossicular chain].
abstract: BACKGROUND
  Ear drum perforation is a typical feature in chronic otitis media. It can have posttraumatic etiology or it is observed in acute otitis media too.
  
  
  OBJECTIVE
  This paper is intended to evaluate effectiveness of tympanic membrane reconstruction and indicate factors which have an influence on hearing improvement after myringoplasty.
  
  
  METHODS
  Analysis involves ca. 500 individuals operated on ear in Department of Otolaryngology at the Jagiellonian University between 2004 and 2009.
  
  
  RESULTS
  120 individuals were operated on for the first time due to chronic otitis media with intact ossicular chain. Statistically significant heating improvement was observed in patients with discharge, without discharge and in group with scars.
  
  
  CONCLUSIONS
  The presence of granulation changes is an unfavorable prognostic condition in the patients with ear drum perforation. In clinical practice, the criterion which often determines the application of either of the materials in myringoplasty are operator's preferences, as well as the availability of given material for transplanting.
authors: Katedra i Klinika Otolaryngologii, Uniwersytet Jagielloński Collegium Medicum. mwiatr@mp.pl
authors: Maciej
authors: M
authors: Wiatr
authors: Krzysztof
authors: K
authors: Oleś
authors: Jerzy
authors: J
authors: Tomik
authors: Jacek
authors: J
authors: Składzień
authors: Agnieszka
authors: A
authors: Morawska
authors: Paweł
authors: P
authors: Stręk
authors: Robert
authors: R
authors: Przeklasa
authors: Karolina
authors: K
authors: Hydzik-Sobocińska
authors: Joanna
authors: J
authors: Szaleniec
authors: Aleksandra
authors: A
authors: Boroń
authors: Aneta
authors: A
authors: Pałasz
authors: Patryk
authors: P
authors: Hartwich
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000150:complications / Q000601:surgery*; D004429:Ear Ossicles / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods; D010033:Otitis Media / Q000150:complications / Q000601:surgery*; D011044:Poland; D011379:Prognosis; D012189:Retrospective Studies; D013524:Surgical Flaps; D014432:Tympanic Membrane / Q000601:surgery*; D018058:Tympanic Membrane Perforation / Q000209:etiology / Q000601:surgery*; D014433:Tympanoplasty / Q000379:methods; D055815:Young Adult