Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-23T17:29:27.577Z Has data issue: false hasContentIssue false
  • English
  • Français

Tympanosclerosis of the middle ear: Late results of surgical treatment

Published online by Cambridge University Press:  29 June 2007

Mirko Tos ,
Torben Lau ,
Helge Arndal  and
Søren Plate
Mirko Tos*
Affiliation:
Copenhagen, Denmark
Torben Lau
Affiliation:
Copenhagen, Denmark
Helge Arndal
Affiliation:
Copenhagen, Denmark
Søren Plate
Affiliation:
Copenhagen, Denmark
*
Prof. M. Tos, M.D., Ent Clinic, Gentofte Hospital, University of Copenhagen, DK-2900 Hellerup, Copenhagen, Denmark.
Get access Rights & Permissions [Opens in a new window]

Abstract

The late results of one stage operation for middle ear tymanosclerosis in 73 patients during the period January 1965 to December 1980 are presented. Mean observation time was 11.2 years (range 3–20.2 years), with a follow-up rate 86 per cent. Among 64 patients with stapes fixation, 59 had removal of tympanosclerotic masses and stapes mobilization, and five cases underwent stapedectomy. The series was divided into six groups and the results analyzed. The best and most stable results occurred in the group with stapes mobilization and an intact ossicular chain followed by the group with stapes mobilization and Type II tympanoplasty with incus interposition. The poorest late results were obtained in ears with lacking stapes crura and stapes mobilization, and in ears subjected to stapedectomy. No case of post-operative sensorineural hearing loss occurred. We recommend that care is taken to preserve an intact ossicular chain at stapes mobilization performed at the same stage as myringoplasty. Also in ears with a defective ossicular chain but intact stapes with tympanosclerotic fixation we recommend stapes mobilization in one stage. In ears with fixation of the stapes footplate and defective crura, we recommend stapedectomy or stapedotomy in two stages.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 9 , September 1990 , pp. 685 - 689
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bonding, P., Lorcnzcn, E. (1974) Chronic secretory otitis media. Long-term results after treatment with grommets. Journal of Oto-Rhino-Laryngology and its Related Specialities, 36: 227–235.CrossRefGoogle ScholarPubMed
Chang, I. W. (1969) Tympanosclerosis. Electron microscopic study. Acta Otolaryngologica, 68: 62–72.CrossRefGoogle ScholarPubMed
Charachon, R., Rouz, O., Dumas, G., Chanel, Y. (1981) La tympanosclcrosc de l' oreille moyene: Pathogenic et resultats. Journal Francais d'Oto-Rhino-Laryngologie et Chirurgie Maxillo Faciale, 30: 223–233.Google Scholar
Friedmann, I. (1971) Tympanosclerosis. Annals of Otology Rhinology and Laryngology, 80: 411–413.CrossRefGoogle ScholarPubMed
Friedmann, I., Galey, F. R. (1980) Initiation and stages of mineralization in tympanosclerosis. Journal of Laryngology and Otology, 94: 1215–1229.CrossRefGoogle ScholarPubMed
Friedmann, I., Hodges, G. M., Graham, M. (1980) Tympanosclerosis. An electron microscopic study of matrix vesicles. Annals of Otology, Rhinology and Laryngology, 89: Supplement 68, 241–245.CrossRefGoogle ScholarPubMed
Gibb, A. G. (1976) Tympanosclerosis. Proceedings of Royal Society of Medicine, 69: 155–162.CrossRefGoogle ScholarPubMed
Goodhill, V. (1960) Pseudo-otosclerosis. Laryngoscope, 70: 722–757.CrossRefGoogle ScholarPubMed
Gormly, P. K. (1987) Stapedectomy in tympanosclerosis. American Journal of Otology, 8: 123–129.Google Scholar
House, W. F., Sheeny, J. L. (1960) Tympanosclerosis. Archives of Otolaryngology, 72: 308–313.CrossRefGoogle Scholar
Kilby, D., Richards, S. H., Hart, G. (1972) Grommets and glueears: Two-year results. Journal of Laryngology and Otology, 86: 881–888.CrossRefGoogle Scholar
Kokko, E. (1975) Chronic secretory otitis media in children. Acta Otolaryngologica, Supplement 327: 7–44.Google Scholar
Mann, W., Riede, U. N., Jonas, I., Beck, C. (1980) The role of matrix vesicles in the pathogenesis of tympanosclerosis. Acta Otolaryngologica, 89: 43–52.CrossRefGoogle ScholarPubMed
Mawson, S. R., Fagan, P. (1972) Tympanic effusions in children. Long-term results of treatment by myringostomy, aspiration and indwelling tubes (grommets). Journal of Laryngology and Otology, 86: 105–119.Google Scholar
MacKinnon, D. M. (1971) The sequel to myringotomy for exudative otitis media. Journal of Laryngology and Otology, 85: 773–793.CrossRefGoogle ScholarPubMed
Møller, P. (1981) Tympanosclerosis of the eardrum in cleft palate patients. Acta Otolaryngologica, 391: 91–94.CrossRefGoogle Scholar
Schiff, M., Poliquin, J. F., Catanzaro, A., Ryan, A. F. (1980) Tympanosclerosis. A theory of pathogenesis. Annals of Otology, Rhinology and Laryngology, 89: Supplement 70, 1–16.CrossRefGoogle ScholarPubMed
Sheehy, J. L., House, W. F. (1962) Tympanosclerosis. Archives of Otolaryngology, 76: 151–157.CrossRefGoogle ScholarPubMed
Smyth, G. D. L. (1972) Tympanosclerosis. Journal of Laryngology and Otology, 82: 9–14.CrossRefGoogle Scholar
Smyth, G. D. L. (1980) Chronic ear disease. Churchill Livingstone: New York, p. 196–204.Google Scholar
Sørensen, H., True, O. (1972) Histology of tympanosclerosis. Acta Otolaryngologica, 73: 18–26.Google Scholar
Tos, M. (1978) Homograft stapes-incus assembly—a new ossiculoplasty. Archives of Otolarynogology, 104: 119–121.CrossRefGoogle Scholar
Tos, M., Bak-Pedersen, K. (1974) Middle ear mucosa in tympanosclerosis. Journal of Laryngology and Otology, 88: 119–126.Google Scholar
Tos, M., Poulsen, G. (1976) Secretory otitis media. Late results of treatment wityh grommets. Archives of Otolaryngology, 102: 672–675.Google Scholar
Tos, M., Poulsen, G. (1979) Changes of pars tensa after secretory otitis. Journal of Oto-Rhino-Laryngology and its Related Specialities, 41: 313–328.CrossRefGoogle Scholar
Tos, M., Bonding, P., Poulsen, G. (1983) Tympanosclerosis of the drum in secretory otitis after insertion of grommets. A prospectvie comparitative study. Journal of Laryngology and Otology, 97: 489–496.CrossRefGoogle ScholarPubMed
von Troeltsch, A. (1869) Lchrbuch der Ohrenheilkunde. Leipzig: Vogel.Google Scholar
Zöllner, F. (1956) Tympanosclerosis. Journal of Laryngology and Otology, 70: 77–85.CrossRefGoogle ScholarPubMed
Zöllner, F. (1963) Tympanosclerosis. Archives of Otolaryngology, 78: 538–544.CrossRefGoogle ScholarPubMed
Zöllner, F. (1969) Tympanosclerosis. Archives of Otolaryngology, 89: 207–210.CrossRefGoogle ScholarPubMed
Zöllner, F., Beck, C. (1955) Paukensklerose. Zeitschrift für Laryngologie, Rhinologie und Otologie, 34: 137–143.Google Scholar