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- W2955246131 abstract "Background: Tympanoplasty is regularly performed in various ages but data about the procedure in elderly is insufficient.Objectives: To compare the success rates and hearing outcomes of fascia and perichondrium grafts used for tympanoplasty in patients >65 years and to evaluate the prognostic factors affecting the success of tympanoplasty.Methods: Reviewing records of 49 elderly patients underwent tympanoplasty, two groups were constituted: perichondrium (25 patients) and fascia (24 patients) groups. Ages, genders, perforation sides, type and location of perforation, graft success rates, functional success rates and air–bone gap (ABG) gains were compared.Results: Overall graft success rate was 85.7%. After a mean follow-up of 23.3 ± 8.32 months, overall mean ABG gain was 11.33 ± 8.42 dB. Overall median postoperative ABG value (9 dB) was significantly lower compared to the median preoperative value (24 dB) (p < .001). Graft success rate was higher in perichondrium group (96%) compared to fascia group (75%) (p = .04). Functional success rate did not significantly differ between perichondrium (68%) and fascia groups (62.5%) (p = .68).Conclusion and significance: Tympanoplasty is an effective procedure with a graft success rate of 85.7% in elderly. Both fascia and perichondrium are suitable materials; however, perichondrium had higher success rate." @default.
- W2955246131 created "2019-07-12" @default.
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- W2955246131 date "2019-07-04" @default.
- W2955246131 modified "2023-10-17" @default.
- W2955246131 title "Is type 1 tympanoplasty effective in elderly patients? Comparison of fascia and perichondrium grafts" @default.
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- W2955246131 doi "https://doi.org/10.1080/00016489.2019.1633018" @default.
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