title: [Assessment of short-term results of Tos modified combined approach tympanoplasty].
abstract: OBJECTIVE
  To observe the short-term results of Tos modified combined approach tympanoplasty (MCAT) in chronic suppurative otitis media.
  
  
  METHODS
  This study is an observational study. The data of 26 patients (28 ears) underwent MCAT were collected. The surgical techniques, complications and preoperative and postoperative air-bone gap (ABG) were analyzed.
  
  
  RESULTS
  Of 28 ears, 26 ears (92.86%) get dry after surgery. 3 ears (10.71%)repaired tympanic membranes and reperforate postoperatively in which 2 minimal perforations were cured to close up patient treatment. One ear develops posterosuperior retraction pocket and one ear re-occurs cholesteatoma. One ear occurs blunting in the anterior sulcus and one ear has lateralization of the tympanic membrane. There are no hearing worsen and facial nerve palsy. For hearing, the postoperative pure tone threshold is better than preoperation (42.8 +/- 17.97 vs 47.49 +/- 18.01, P < 0.05) and postoperative ABG shrinks significantly (19.76 +/- 7. 49 vs 30.65 +/- 10.02, P < 0.01).
  
  
  CONCLUSIONS
  Based on the short-term results, Tos' MCAT can successfully dissect the diseases of tympanic cavity and mastoid and develop a stable aerating middle ear with a complete hearing conduction. It is safe and feasible in the treatment of chronic suppurative otitis media, as well as in the poor-pneumatic mastoid.
authors.forename: Renhui
authors.initials: R
authors.lastname: Chen
authors.forename: Yiqin
authors.initials: Y
authors.lastname: Zheng
authors.forename: Xianguang
authors.initials: X
authors.lastname: Wu
authors.forename: Shaowan
authors.initials: S
authors.lastname: He
authors.forename: Xiaoqing
authors.initials: X
authors.lastname: Wei
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000379:methods*; D055815:Young Adult