Introduction: Middle ear surgery is increasingly performed in our department. Our goal was to take stock of this activity in the ENT department of the Donka National Hospital. Equipment and Methods: It was a descriptive and retrospective study; it involved 71 patients’ records operated from January 1, 2018 to December 31, 2023. We included the files of patients who had a middle ear surgery including the post-operative report and follow-up. Incomplete or illegible records were excluded. The parameters studied were epidemiological, otoscopic, tomodensitometric, surgical indications, surgical techniques and results. Results: We recorded 71 middle ear surgeries out of 548 ENT surgeries, the prevalence was 12.96%. The average age was 23 years (type-deviation = 17, 29 years) with extremes of 3 to 75 years. According to the preoperative audiometry, the deafness was medium (48.8%), mild (36.9%) and severe (14.3%). The operative indications were among others: perforation of the tympanic sequellar (52.5%), chronic otomastoiditis (23.8%), cholesteatoma (15%) and seromuqueous otitis (8.7%). We performed 70 tympanoplasties (90.9%), 50 mastoidectomies (64.9%) and 7 trans-tympanic aerators (9.1%). One month after surgery, the neotympanum was constituted in 86%, and the hearing gain was between 11 and 15 dB in 18.3% of cases. Conclusion: Middle ear surgery was infrequent. Young subjects are the most concerned. Tympanoplasty and mastoidectomy are the main surgical techniques. The anatomical and functional results are appreciable.
References
[1]
Do Santos Zounon, A., Avakoudjo, F., Bouraima, F.A., Vodouhe, U.B., Adjibabi, W. and Vignikin-Yehouessi, B. (2021) Bilan Anatomique et fonctionnel de la tympanoplastie en technique underlay. Journal de la Société de Biologie Clinique du Bénin, 38, 36-39.
[2]
Attifi, H., Hmidi, M., Boukhari, A., Touihem, N., Kettani, M., Zalagh, M., et al. (2014) Expérience oto-rhino-laryngologique de l’hôpital marocain de campagne en Guinée Conakry. Pan African Medical Journal, 19, Article 40. https://doi.org/10.11604/pamj.2014.19.40.4908
[3]
Dioum, E.S., Cissé, Z., Tall, A., Ndiaye, M., Pegbessou, E., Ndiaye, I.C., Diallo, B.K., Diouf, R. and Diop, E.M. (2013) Prise en charge du cholestéatome acquis chez l’enfant: Bilan de 15 ans au service ORL du CHNU de FANN Dakar. Journal International d’Otorhinolaryngologie Pédiatrique, 77, 1998-2003.
[4]
Nevoux, J., Lenoir, M., Roger, G., Denoyelle, F., Ducou Le Pointe, H. and Garabédian, E.N. (2010) Le cholestéatome chez l’enfant. Annales Françaises d’Otorhinolaryngologie et de Pathologie Cervico-Faciale, 127, 182-190. https://doi.org/10.1016/j.aforl.2010.07.001
[5]
Ayache, D., Schmerber, S., Lavieille, J.P., Roger, G. and Gratacap, B. (2006) Cholestéatome de l’oreille moyenne. Annales d’Otolaryngologie et de Chirurgie Cervico-Faciale, 123, 120-137. https://doi.org/10.1016/s0003-438x(06)76653-1
[6]
Tall, A., N’Diaye, M., Diom, E.S., Nao, E.E., Deguenonvo, R., Diallo, B.K., Ndiaye, I., Diouf, R. and Diop, E.M. (2012) Myringoplastie par la technique des boutonnières. Journal Tunisien d’ORL et de Chirurgie Cervico-Faciale, 28, 7-12.
[7]
Portier, F., Lescanne, E., Racy, E., Nowak, C., Lamblin, B. and Bobin, S. (2005) Prise en Charge des Fistules Labyrinthiques Cholestéatomateuses: A Propos de 22 Cas. TheJournalofOtolaryngology, 34, 1-6. https://doi.org/10.2310/7070.2005.00001
[8]
Touati, M.M., Darouassi, Y., Chihani, M., Bouaity, B. and Ammar, H. (2015) L’otite moyenne chronique cholestéatomateuse de l’enfant: À propos de 30 cas. Pan AfricanMedicalJournal, 21, Article 24. https://doi.org/10.11604/pamj.2015.21.24.5689
[9]
Tringali, S., Dubreuil, C. and Bordure, P. (2008) Les perforations tympaniques et les greffes de tympan. Annalesd’OtolaryngologieetdeChirurgieCervico-Faciale, 125, 261-272. https://doi.org/10.1016/j.aorl.2008.01.005
[10]
Buraïma, F., Kouassi, Y.M., Coulibaly, A., et al. (2011) Un cas d’angiosarcome de l’oreille moyenne. AnnalesFrançaisesd’OtorhinolaryngologieetdePathologieCervico-Faciale, 128, 99-102. https://doi.org/10.1016/j.aforl.2010.09.011
[11]
Bouhafs, K., Lachkar, A., Benallal, A., Benfadil, D. and Ghailan, M.R. (2021) Ossiculoplasties: À propos de 30 cas et revue de la littérature. Pan African Medical Journal, 38, Article 187. https://doi.org/10.11604/pamj.2021.38.187.27449
[12]
Beltaief, N., Sellami, M., Tababi, S., Zainine, R., Charedim, A., Sahtout, S., Charfi, A. and Besbes, G. (2012) Le cholestéatome de l’oreille moyenne. Journal Tunisien d’ORL et de Chirurgie Cervico-Faciale, 28, 1-6. https://www.ajol.info/index.php/jtdorl
Riss, J.C., Roman, S., Morredu, E., Farinetti, A., Nicollas, R. and Triglia, J.M. (2016) Tympanoplastie type “butterfly cartilage” chez l’enfant: À partir d’une série de 28 cas avec revue de la littérature. Annales Françaises d’Otorhinolaryngologie et de PathologieCervico-Faciale, 133, 160-163. https://doi.org/10.1016/j.aforl.2015.06.004
[15]
Linder, T., Schlegel, C. and Brändle, P. (2011) Otite moyenne chronique simple contre cholestéatomateuse. Forum Médical Suisse—Swiss Medical Forum, 11, 584-587. https://doi.org/10.4414/fms.2011.07596
[16]
Mouzali, A., Kanoun, K., Haraoubia, M., Ouennoughiv, K. and Zemirli, O. (2014) Tympanoplasties chez l’enfant: À propos de 70 cas. AnnalesFrançaisesd’OtorhinolaryngologieetdePathologieCervico-Faciale, 131, A135. https://doi.org/10.1016/j.aforl.2014.07.297
[17]
Elboukhari, A., Touihem, N., Nadour, K., Attifi, H., Zalagh, M. and Messary, A. (2017) Myringoplastie: Les facteurs influençant les résultats anatomiques d’une série de 229 cas. Research, 4. https://doi.org/10.13070/rs.fr.4.2314
