抄録
Since 1955, tympanoplsty was a procedure of choice for sequela of the previously operated otitis media.
His Clinic now accumulated 122 such cases and the details of the cases were discussed,
1. Chief complaints prior to the reoperation;
a) otorhea and hearing hardness (30-55 d B) 60%
b) hearing hardness only (30-85 d B) 40%
2. Procedures performed at the initial operations
a) radical operation 39 cases
b) semiradical operation 46 cases
c) tympanoplaty 37 cases
3. Characteristic reoperative findings
a) remaining inflammation type (granulation, cyste, etc.)
b) choleatoma forming type (infection, cholesteatoma arrising from the skin graft, etc.)
c) reacting type to transplanted materials (skin graft, fascia, bone, columella, etc.)
d) adhesive-hypertrophic type (habitus, drugs, etc.)
e) combined type (combined type of a to d)
4. Efficacy of the reoperation;
There were some cases, in which hearing hardness was not improved and the diseased foci were not eliminated at the initial operation.
Such cases would be benifitied quite often by the tympanoplaty.
Therefore, the author concludes, the tympanoplasty should be considered when reoperation is require.
