Resumo
Objetivo: Comparar o sucesso audiométrico da timpanoplastia utilizando enxertos de fáscia temporal e cartilagem, independente da técnica, em um hospital terciário de São Paulo. Métodos: Realizou-se um estudo observacional, longitudinal e retrospectivo através da análise do prontuário de 56 pacientes submetidos à timpanoplastia unilateral entre janeiro de 2019 e fevereiro de 2023. Os dados foram processados através do software IBM Statistical Package for the Social Sciences versão 26.0, onde realizou-se os testes estatísticos Shapiro Wilk, Qui-quadrado e Teste Exato de Fisher. A significância estatística entre a diferença da média das variáveis foi verificada por meio do teste t-Student pareado e não pareado. Considerou-se estatisticamente significativo, os resultados cujo valor de p foi < 0,05. Resultados: A média da redução do limiar de reconhecimento da fala (LRF), na comparação LRF pré-operatório versus pós-operatório, foi de 10,9 dB, com desvio padrão de 9,8 dB (p<0,001). Os pacientes que utilizaram cartilagem tiveram uma taxa de sucesso de 67,9% e aqueles que utilizaram enxerto de fáscia tiveram taxa de sucesso de 64,3%, sem diferença relevante (p=0,788). Conclusão: Observou-se melhora significativa na audição pós-timpanoplastia, independente do enxerto utilizado.
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