Liaqat, Nazneen and Lou, Zhengcai and Din, Israr Ud and Ul Haq, Ihtisham and Ullah, Shakir and Khan, Imran (2024) Tympanic Cavity Packing in Tympanoplasty Type 1: A Meta-Analysis. Journal of the College of Physicians and Surgeons Pakistan, 34 (8). pp. 956-962. ISSN 1022-386X, DOI https://doi.org/10.29271/jcpsp.2024.08.956.
Full text not available from this repository.Abstract
Packing of tympanic cavity is generally considered an essential step in myringoplasty. However, each packing material comes with one or another side effect. The objective of this meta-analysis was to compare the results of Type 1 myringoplasty with or without packing. Pubmed, Cochrane database, Embase, Google Scholar, and clinicaltrials.gov were searched using `tympanoplasty or myringoplasty and packing' as the search query. All RCTs / quasi-RCTs comparing tympanoplasty Type 1 with packing (control) versus without packing (intervention) of tympanic cavity in the human population were included. For dichotomous and continuous outcomes, relative risks (RR) and mean differences (MD) were calculated with 95% confidence interval, respectively. Heterogeneity was assessed using I2 statistics. Publication bias was checked using funnel plot and Egger's test, if applicable. Quality of evidence was assessed for each outcome using GRADE approach. Eleven studies were deemed eligible. For graft uptake and functional success rate, RR of 1.01 and 1.05 were obtained, respectively, showing no significant differences between the intervention and control groups. At 1st and 3rd postoperative month, nopacking group showed 3.86 dB and 2.08 dB better air-bone gap (ABG) closure than the packing group, respectively. Also, intervention with no-packing was 9.28-minute shorter procedure. With RR 0.35, no-packing had significantly lesser postoperative aural fullness. Type 1 tympanoplasty performed with or without packing show comparable results in terms of graft uptake and functional success rate. However, if performed without packing, it takes shorter time, provides early hearing improvement and causes less aural fullness.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Tympanoplasty Type 1; Packing; Gelfoam; No-packing; Meta-analysis; Endoscopic myringoplasty. |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Universiti Malaya Medical Centre (UMMC) |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 05 Feb 2025 08:41 |
| Last Modified: | 05 Feb 2025 08:41 |
| URI: | http://eprints.um.edu.my/id/eprint/47548 |
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