Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2005; 16(2):227-234

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2005.16.2.227

원저

노인의 만성 중이염에 대한 수술성적: 청ᆞ장년 수술성적과의 비교

전경명¹^,^*, 조규섭¹, 고의경¹, 이일우¹, 이진춘¹, 김대희¹

Comparison of Postoperative Results in the Aged and Adult Patients with Chronic Otitis Media

Kyong-Myong Chon¹^,^*, Kyu-Sup Cho¹, Eui-Kyung Goh¹, Il-Woo Lee¹, Jin-Choon Lee¹, Dae-Hee Kim¹

¹부산대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, College of Medicine, Pusan National University, Busan, Korea

^*교신저자: 전경명, 602-739 부산광역시 서구 아미동 1가 10번지 부산대학교 의과대학 이비인후과학교실 전화： (051) 240-7330·전송： (051) 248-1248 E-mail： chonkm@pusan.ac.kr

© Copyright 2005 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 09, 2005; Accepted: Sep 10, 2005

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: The number of elderly patients undergoing tympanoplasty is on the increase because of the increasing percentage of the elderly persons in the population, greater anesthetic safety, and greater otosurgical technique. This study was attempted to compare the postoperative results in the elderly and adult patients received tympanoplasty with or without mastoidectomy and to evaluate the prognostic factors related to the postoperative hearing results and complications. Materials and Methods: Retrospective review of the 84 elderly (60 or more year old) and 150 adult (16-59 year old) patients among total of 2,982 patients with chronic otitis media with or without cholesteatoma who were surgically treated at the Department of Otolaryngology, Pusan National University Hospital from January 1996 to December 2003. Results: 1) In the elderly patients, most common hearing loss is the mixed type. 2) Graft success rate is 92.9% and hearing success rate is 47.6%. Graft success rate and hearing success rate were better in good eustachian tube function. 3) The most common concomitant disease is hypertension. Graft and hearing success rate is higher in patients who have no concomitant disease, but there was no statistically significant difference between the elderly and adult groups. 4) Type II tympanoplasty was more frequently performed. The incidences of type II tympanoplasty decreased with age, whereas the type III tympanoplasty slightly increased with age. 5) Hearing success rate is higher in patients performed only tympanoplasty than mastoidectomy with tympanoplasty. 6) There were no severe complications of surgery in the elderly patients. Conclusion: The need for tympanoplasty in the elderly patients is often to correct of conductive hearing loss and to obtain dry ear, which greatly helps in wearing a hearing aid. If the general state of the elderly patients allows operation, middle ear surgery for chronic otitis media should be recommended. (J Clinical Otolaryngol 2005;16:227–234)

Keywords: 노인; 고실성형술; 만성 중이염

Keywords: Aged; Tympanoplasty; Otitis media