Myringoplasty Outcomes From the Swedish National Quality Registry

Malin Berglund, Rut Florentzson, Mattias Fransson, Malou Hultcrantz, Per O. Eriksson, Erling Englund, Eva Westman

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives/Hypothesis: Data from patients registered for myringoplasty during 2002 to 2012 in the Swedish National Quality Registry for Myringoplasty. Study Design: Both conventional myringoplasty and fat-graft techniques were used aimed at healing the tympanic membrane in noninfected ears. Methods: Analysis was performed on data in a national database collected from 32 ear, nose, and throat clinics. Surgical procedures and outcomes, and patient satisfaction from a questionnaire were studied. Results: The database was comprised of 3,775 surgical procedures, with follow-up available for analysis. One-third were children under the age of 15 years. The most common indication for surgery was infection prophylaxis. The overall healing rate of the tympanic membrane after surgery was 88.5%, with a high mean patient satisfaction. Complications registered were postoperative infection, tinnitus, or taste disturbance that occurred in 5.8% of patients. Conclusions: Swedish results for a large number of patients who completed myringoplasty are presented. The success rate in this study is comparable to other studies, and good patient-reported outcome measures of myringoplasty are presented. Databases for surgical procedures and clinical audits are systematic processes for continuous learning in healthcare. This study shows that clinical databases can be utilized to analyze national results of surgical procedures. Level of Evidence: 2b Laryngoscope, 127:2389–2395, 2017.

Original languageEnglish
Pages (from-to)2389-2395
Number of pages7
JournalLaryngoscope
Volume127
Issue number10
DOIs
Publication statusPublished - 2017 Oct 1
Externally publishedYes

Subject classification (UKÄ)

  • Otorhinolaryngology

Free keywords

  • adults
  • children
  • database
  • Myringoplasty
  • patient-reported outcome measures

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