Academic Journal
Tympanoplasty Outcomes of Inuit Populations in Nunavik, Canada.
| Τίτλος: | Tympanoplasty Outcomes of Inuit Populations in Nunavik, Canada. |
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| Συγγραφείς: | Roy CF; Department of Otolaryngology Head and Neck Surgery, McGill University Health Center., Yeung JC; Department of Otolaryngology Head and Neck Surgery, McGill University Health Center.; Department of Pediatric Surgery, Montreal Children's Hospital., Himdi L; Department of Otolaryngology Head and Neck Surgery, McGill University Health Center., Correa JA; Department of Mathematics and Statistics, McGill University, Montreal, QC, Canada., Mijovic T; Department of Otolaryngology Head and Neck Surgery, McGill University Health Center. |
| Πηγή: | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2026 Feb 01; Vol. 47 (2), pp. e306-e311. Date of Electronic Publication: 2026 Jan 09. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100961504 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-4505 (Electronic) Linking ISSN: 15317129 NLM ISO Abbreviation: Otol Neurotol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2001- |
| Ιατρικοί όροι (MeSH): | Tympanoplasty*/methods , Tympanic Membrane Perforation*/surgery , Otitis Media*/surgery , Inuit*, Postoperative Complications/epidemiology ; Humans ; Male ; Female ; Retrospective Studies ; Adolescent ; Treatment Outcome ; Adult ; Young Adult ; Child ; Quebec ; Middle Aged |
| Περίληψη: | Objective: To provide an updated account of tympanoplasty success rates in Inuit patients of Northern Quebec and to explore optimal surgical techniques for this population. Background: Chronic otitis media and tympanic membrane perforations are highly prevalent among Inuit populations in Northern Quebec. Materials and Methods: A retrospective chart review was conducted of Inuit patients who underwent tympanoplasty with or without ossicular chain reconstruction at the Inuulitsivik Health Center in Puvirnituq, Quebec, Canada, between January 2015 and January 2024. The primary outcome was otoscopic confirmation of an intact tympanic membrane postoperatively. Secondary outcomes included pre- and post-procedure audiometric parameters and postoperative complications. Results: A total of 197 patients (median age 16.4, IQR: 12.2;31.7) and 224 tympanoplasties were included (195 primary and 29 revision surgeries). Postoperative examination revealed successful closure of the tympanic membrane in 113/174 (64.9%) of patients with appropriate otoscopic follow-up, however, varied widely according to the type of graft used. Cartilage tympanoplasties had a closure rate of 86.7% (39/45 patients), compared with 63.0% (51/81) for tympanoplasties using a perichondrium or fascia as a graft, and 48.9% (23/47) for simple myringoplasties using fat and/or a hyaluronic acid scaffold (EpiDisc; P < 0.001). The median follow-up was 1.8 years (IQR: 0.9; 3.5). Conclusion: While tympanoplasty may improve audiometric parameters and recurrent otorrhea, outcomes in Inuit patients are modest. This study emphasized the superior closure rates with cartilage grafts, which may help improve outcomes in this population. Further efforts should focus on addressing broader health care disparities to ensure better access to specialized surgical care and postoperative follow-up in Inuit communities. (Copyright © 2025, Otology & Neurotology, Inc.) |
| Competing Interests: | The authors disclose no conflicts of interest. |
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| Contributed Indexing: | Keywords: Inuit patients; Outcomes; Quality improvement; Tympanoplasty |
| Entry Date(s): | Date Created: 20260109 Date Completed: 20260109 Latest Revision: 20260109 |
| Update Code: | 20260130 |
| DOI: | 10.1097/MAO.0000000000004696 |
| PMID: | 41508355 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1537-4505 |
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| DOI: | 10.1097/MAO.0000000000004696 |