Atelectasis of the middle ear in pediatric patients: Safety of surgical intervention

Borgstein, Johannes; Gerritsma, Tatjana; Bruce, Iain; Feenstra, Louw

doi:10.1016/j.ijporl.2008.10.015

Cited by 11 publications

(10 citation statements)

References 11 publications

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“…The usual treatment modalities include watchful waiting, nasal decongestants, forced middle ear insufflation, VT insertion with or without excision of the rectracted area, laser myringoplasty, tympanoplasty with or without reinforcement of the TM and cortical mastoidectomy [4,9,10,[15][16][17][18][19]. A VT may temporarily successfully substitute the function of the ET until it falls out.…”

Section: Discussionmentioning

confidence: 99%

“…Pars tensa RPs have been classified by several authors (Table 1) [3][4][5][6]. The symptomatology includes fullness of the ear, otorrhoea, a hearing loss and recurrent episodes of acute purulent otitis media.…”

Section: Introductionmentioning

confidence: 99%

“…Surgical procedures with the aim of improvement of the ET function, such as adenoidectomy, may be helpful. The treatment of choice can include watchful waiting, nasal decongestants, forced middle ear insufflation and various surgical procedures [4]. Creation of a perforation by excision of the RP and appropriate aeration of the middle ear cleft via ventilation tube (VT) insertion, first described by Sharp and Robinson [7], is considered to promote spontaneous TM repair.…”

Section: Introductionmentioning

confidence: 99%

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Transmeatal excision of pars tensa retraction pockets with simultaneous ventilation tube insertion in children: a prospective study

Ráth

Gerlinger

Csákányi

et al. 2011

Eur Arch Otorhinolaryngol

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Grade II and III (according to Sadé's classification) retraction pockets (RPs) in 40 ears of 30 children were excised transmeatally with simultaneous ventilation tube insertion. At a mean follow-up of 16.1 months, an intact tympanic membrane and mild, grade I retractions not requiring treatment were observed in 32 ears (80%). The mean air-bone gap had decreased from 22.4 to 9.7 dB. Two residual perforations and six recurrent grade II RPs were detected, all these eight ears undergoing further surgery. The second surgery solved both of the residual perforations and four of the six grade II recurrences. The age of the children did not influence the success rate, whereas bilateral pathology, a higher grade and more extensive RPs were associated with a higher rate of unsuccessful cases. A staging system is introduced to ease the selection of candidates with a good prognosis for this procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transmeatal excision of pars tensa retraction pockets with simultaneous ventilation tube insertion in children: a prospective study

Ráth

Gerlinger

Csákányi

et al. 2011

Eur Arch Otorhinolaryngol

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“…postoperatively. All 25 patients included in this study were having grade 3 and grade 4 paras-tensa retraction 1,7,2,3 with no evidence of cholesteotoma. All patients underwent necessary ENT examination and investigations including Pure Tone audiometry, Impedance audiometry followed by Otoendoscopic and microscopic examination (EUM).…”

Section: Methodsmentioning

confidence: 99%

“…Otitis media is subdivided into activeor inactivedepending on the presence or absence of infection, and mucosalor squamous depending on the involvement of middle ear mucosa or squamousepithelium oftympanic membrane. Retraction Pockets 1,2,3 are known to be the precursors ofcholesteatoma 4 formation and have to be strategically treated. The impairment of ventilation between the Eustachian tube and the aditus is an important factor in the pathogenesis of retraction pocket formation, therefore, maintaining or re-creating the ventillation pathways will lead to a better outcome.…”

Section: Introductionmentioning

confidence: 99%

Cartilage Tympanoplasty in Atelectatic and Adhesive Otitis Media: Our Experience in a Tertiary Care Hospital

Mehta¹,

Khaliq²,

Mir³

et al. 2019

IJCMR

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Introduction: Adhesive otitis media is a type of chronic otitis media, the development of which is essentially influenced by disturbed ventilation of the middle ear. Anatomic and some other predisposing factors may play a part in the origin of this disease. Study aimed to find the efficacy and outcome of cartilage tympanoplasty in patients with grade 3 and 4 parastensa retraction. (atelectatic and adhesive otitis media). Material and Methods: This study was conducted in the department of ENT and HNS Govt Medical College Srinagar. A total of 25 patients with grade3 and 4 retraction were included in this study. In all patients otoscopic examination, Pure Tone audiometry (PTA), impedance audiometry and oto-endoscopic examination / EUM (Examination under Microscope) was done. Proper consent was taken from all patients included in this study. Results: Cartilage Tympanoplasty is an effective method of treating grade3 and 4 parastensa retraction in adhesive otitis media patients. In our study we found less recurrence of adhesion at 9 months followup with better compliance and improvement in hearing. Out of 25 patients, 23 (92%) patients had intact tympanic membrane, better hearing outcome at 9 months follow-up. However in 2(8%) patients, among them one had displaced cartilage, another had no hearing improvement at 9 months follow up. Conclusion: Cartilage tympanoplasty is a better surgical option for treating atelectatic and adhesive otitis media, with better outcome of hearing, patient compliance and less failure rate in terms of recurrence of disease 7. Cartilage used as reconstruction gives good tensile strength and prevents recurrence of disease in terms of retraction.

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Long-term Results and Prognostic Factors of Underlay Myringoplasty in Pars Tensa Atelectasis in Children

Zinis

Nassif

Zanetti

2015

JAMA Otolaryngol Head Neck Surg

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Atelectasis of the middle ear in pediatric patients: Safety of surgical intervention

Cited by 11 publications

References 11 publications

Transmeatal excision of pars tensa retraction pockets with simultaneous ventilation tube insertion in children: a prospective study

Transmeatal excision of pars tensa retraction pockets with simultaneous ventilation tube insertion in children: a prospective study

Cartilage Tympanoplasty in Atelectatic and Adhesive Otitis Media: Our Experience in a Tertiary Care Hospital

Long-term Results and Prognostic Factors of Underlay Myringoplasty in Pars Tensa Atelectasis in Children

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