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Trial registered on ANZCTR
Registration number
ACTRN12625000436471
Ethics application status
Approved
Date submitted
8/01/2025
Date registered
9/05/2025
Date last updated
9/05/2025
Date data sharing statement initially provided
9/05/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
Tympanoplasty Outcomes and Quality of life: Exploring Success, Failure, and Predictive Factors in adults with dry perforation
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Scientific title
Tympanoplasty Outcomes and Quality of life: Exploring Success, Failure, and Predictive Factors in adults with dry perforation
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Secondary ID [1]
313651
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic otitis media
336221
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Condition category
Condition code
Ear
332754
332754
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0
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Other ear disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All surgeries were performed using the postauricular approach under general anesthesia. The procedure involved harvesting temporalis fascia or conchal cartilage, refreshing the edges of the perforation and the medial surface of the tympanic membrane, elevating the meatal flap and annulus, and preparing the middle ear space. Ossicular reconstruction, when required, was carried out using cartilage grafts, incus interposition, or partial ossicular replacement prostheses (PORPs). The underlay grafting technique was employed in all cases. The Eustachian tube and tympanic cavity were packed with gelfoam to support graft placement. Patients were administered acetaminophen as needed and were observed in a day-surgery unit for approximately 24 hours postoperatively. All surgeries were performed by senior otolaryngology residents under the supervision of ENT and otologic surgeons. The anticipated duration of each procedure was approximately 2 hours.
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Intervention code [1]
330250
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Treatment: Surgery
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Comparator / control treatment
control participants have dry perforation but did not undergo tympanoplasty.
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Control group
Active
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Outcomes
Primary outcome [1]
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Quality of life
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Assessment method [1]
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The Arabic version of the Ear Outcome Survey-16 (EOS-16)
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Timepoint [1]
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Baseline (before surgery) and after 3 months (primary timepoint) and 6 months for participants undergoing tympanoplasty procedure. Baseline and after 3 months for controls.
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Primary outcome [2]
340448
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Depression and Anxiety
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Assessment method [2]
340448
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The Arabic version of the Hospital Anxiety and Depression Scale (HADS)
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Timepoint [2]
340448
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Baseline (before surgery) and after 3 months (primary timepoint) and 6 months for participants undergoing tympanoplasty procedure. Baseline and after 3 months for controls.
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Secondary outcome [1]
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Hearing thresholds
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Assessment method [1]
443622
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Pure tone audiometry (PTA)
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Timepoint [1]
443622
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Baseline (before surgery) and after 3 and 6 months for participants undergoing tympanoplasty procedure. Baseline and after 3 months for controls.
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Eligibility
Key inclusion criteria
Participants with dry perforation aged between 18-55 years old
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
patients younger than 18 years old, who had active squamous chronic otitis media (cholesteatoma), acute perforation, severe uncontrolled chronic disease, using hearing aids, physical disability, psychiatric medications, and pregnancy.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation by phone
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/01/2024
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Date of last participant enrolment
Anticipated
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Actual
16/06/2024
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Date of last data collection
Anticipated
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Actual
19/12/2024
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Sample size
Target
78
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Accrual to date
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Final
111
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Recruitment outside Australia
Country [1]
26806
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Syrian Arab Republic
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State/province [1]
26806
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Funding & Sponsors
Funding source category [1]
318118
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Self funded/Unfunded
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Name [1]
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this study is genuinely unfunded
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Address [1]
318118
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Country [1]
318118
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Primary sponsor type
University
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Name
Damascus University
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Address
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Country
Syrian Arab Republic
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Secondary sponsor category [1]
320497
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Hospital
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Name [1]
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Al Mouwasat University Hospital
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Address [1]
320497
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Country [1]
320497
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Syrian Arab Republic
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316763
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Damascus University
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Ethics committee address [1]
316763
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Al-Mazzeh Street, Damascus, Syria
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Ethics committee country [1]
316763
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Syrian Arab Republic
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Date submitted for ethics approval [1]
316763
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01/07/2023
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Approval date [1]
316763
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04/10/2023
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Ethics approval number [1]
316763
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Summary
Brief summary
Tympanoplasty is a surgical procedure to repair tympanic membrane perforations. This study aims to evaluate its effects to counsel patients about clinical outcomes, quality of life, and depression and anxiety. Furthermore, to add a comprehensive perspective about tympanoplasty.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Adel Azar
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Address
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Al Mouasat University Hospital, G767+R8X, Omar Bin Abdulaziz, Damascus, Syria
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Country
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Syrian Arab Republic
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Phone
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+963994083081
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Fax
138938
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Email
138938
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[email protected]
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Contact person for public queries
Name
138939
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Adel Azar
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Address
138939
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Al Mouasat University Hospital, G767+R8X, Omar Bin Abdulaziz, Damascus, Syria
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Country
138939
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Syrian Arab Republic
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Phone
138939
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+963994083081
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Fax
138939
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Email
138939
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[email protected]
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Contact person for scientific queries
Name
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Adel Azar
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Address
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Al Mouasat University Hospital, G767+R8X, Omar Bin Abdulaziz, Damascus, Syria
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Country
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Syrian Arab Republic
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Phone
138940
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+963994083081
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Fax
138940
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Email
138940
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
•
Researchers
Conditions for requesting access:
•
No requirements
What individual participant data might be shared?
•
All de-identified individual participant data
What types of analyses could be done with individual participant data?
•
Systematic reviews and meta-analyses
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Studies exploring new research questions
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Studies testing whether findings can be repeated or confirmed
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Teaching research methods or developing new statistical techniques
When can requests for individual participant data be made (start and end dates)?
From:
After publication of main results
To:
No end date
Where can requests to access individual participant data be made, or data be obtained directly?
•
access subject to approvals by Principal Investigator
a method of contact:
[email protected]
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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