Success Rate of Tympanic Membrane Closure in the Elderly Compared to Younger Adults

Objective: To assess the effectiveness and safety of tympanoplasty in elderly patients and the effect of frailty on the results. Study Design: Retrospective chart review. Setting: Tertiary referral center. Patients: Thirty-one ears in 30 patients aged 65 years and older were included and matched with 31 controls, based on the type of surgery, of a pool of 133 patients aged 35 to 55 years. Intervention: Therapeutic. Main Outcome Measure: Success was defined as tympanic membrane closure and resolution of presenting complaints. Complications were assessed. Frailty was defined by assessing multimorbidity and polypharmacy. Fisher's exact test was used to compare success and complication rates between the age groups. Linear logistic regression analysis using generalized linear models was performed on success and complication rate. Results: Success rates in both the groups were 84%. Complication rate in the elderly group was 16% versus 6% in the control group. This difference was not statistically significant in the Fisher's exact test. In the generalized linear model analysis age group, multimorbidity and polypharmacy had no significant influence on both success and complication rate. Conclusion: There was no difference in success and complication rate in elderly undergoing tympanoplasty compared with younger adults. Having multimorbidity or polypharmacy did not correlate with failure of the tympanic membrane closure or a higher complication rate. Address correspondence and reprint requests to Casper Jolink, M.D., Department of Otorhinolaryngology Head and Neck Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands; E-mail: c.jolink@amc.nl The authors disclose no conflicts of interest. Copyright © 2017 by Otology & Neurotology, Inc. Image copyright © 2010 Wolters Kluwer Health/Anatomical Chart Company

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