Myringoplasty in children: retrospective analysis of 35 cases

Al-Khtoum, Nemer; Hiari, Mohammad Ali

doi:10.1016/s1808-8694(15)30654-6

Cited by 17 publications

(18 citation statements)

References 14 publications

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“…In the present study, the youngest child was 8 years old with higher anatomical and audiological success rate (92%) and in children aged between 13 and 17 the success rate was 97%. These results are in agreement with the study of al Khtoum 4 where surgery was performed in 12-14 age groups. Final outcome of myringoplasty depends upon many factors and one among them is duration of followup, which varied in different studies from 6 to 12 months.…”

Section: Observations and Resultssupporting

confidence: 92%

“…13 Few authors 1,14,9,8,2 found no correlation between the age and surgical results; but most of them opine that older the age better are the results. 15,5,6,16,17,3,4,18 Their argument is that smaller perforations would heal spontaneously, upper respiratory tract infections become less common in elderly children, eustachian tube dysfunction resolves with advancing age. 4,18 Hence, surgery in paediatric age should be performed with caution.…”

Section: Observations and Resultsmentioning

confidence: 99%

“…15,5,6,16,17,3,4,18 Their argument is that smaller perforations would heal spontaneously, upper respiratory tract infections become less common in elderly children, eustachian tube dysfunction resolves with advancing age. 4,18 Hence, surgery in paediatric age should be performed with caution. For Castro 1 and Velepic, 19 the minimal age is 7 years and they found no difference in results between older children.…”

Section: Observations and Resultsmentioning

confidence: 99%

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Final Surgical Outcome and Audiological Recovery of Hearing Loss in Postoperative Myringoplasty in Children With Csom: Our Results

A¹

2017

jebmh

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BACKGROUND Tympanoplasty is a common procedure done in adults for the treatment of chronic suppurative otitis media (CSOM) but less commonly done in children. There are different views expressed in the literature regarding indications, inclusion criteria and factors controlling the final surgical outcome. The aim of this study is to analyse the preoperative status, otological, audiological status and final surgical outcome of children undergoing Myringoplasty. MATERIALS AND METHODS Fifty two children aged between 8 and 17 years with CSOM tubotympanic type were included and otoscopy, audiometry done to evaluate the preoperative status. All the children were excluded for adenotonsillitis, sinus pathology and allergic diseases. All the children were subjected to Myringoplasty. Two years followup done and audiological and surgical uptake of graft evaluated and analysed. RESULTS Males were 34 (65.38%) and females were 18 (34.62%) with a male to female ratio of 2.88. The mean age was 14.2±2.4. There was large central perforation in 71.15% and medium 15.38% of children. There was <40 dB in 11.53% and >40 dB in 88.46% children. The surgical outcome was 92% success in 8 to 12 years age and 97% in 13 to 17 years age. CONCLUSIONS Tympanoplasty type 1 (Myringoplasty) when performed in properly selected cases with indications of hearing loss is a valid surgical procedure in treating CSOM or traumatic perforation.

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Section: Observations and Resultssupporting

confidence: 92%

Section: Observations and Resultsmentioning

confidence: 99%

Section: Observations and Resultsmentioning

confidence: 99%

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Final Surgical Outcome and Audiological Recovery of Hearing Loss in Postoperative Myringoplasty in Children With Csom: Our Results

A¹

2017

jebmh

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“…El tamaño de la perforación es un factor importante en el éxito de la timpanoplastia en niños. Para algunos autores, las perforaciones mayores se asocian con una menor tasa de éxito, probablemente, debido a: una mayor dificultad quirúrgica (6,35), mayor tamaño del injerto y a menudo a un menor remanente timpánico (13), sin embargo para otros el tamaño no es un factor importante en el resultado (8,12,36,37). En el presente estudio el tamaño preoperatorio de la perforación no demostró diferencias estadísticamente significativas en el éxito quirúrgico.…”

Section: Discussionunclassified

“…Varios estudios evalúan el efecto de la edad sobre la tasa de éxito, algunos han reportado un resultado menos exitoso en la población pediátrica (4,5,6), principalmente debido a las características especiales de esta población, como la disfunción y disposición anatómica de la trompa de Eustaquio y la mayor frecuencia de infecciones respiratorias superiores, que influyen en una mayor tasa de re-perforación (7,8,9,10,11). Por lo tanto, todavía hay controversia en cuanto a la edad ideal a la que se debe realizar una timpanoplastia.…”

Section: Introductionunclassified

Resultados Anatómicos Y Audiológicos en Timpanoplastia Tipo I La Población Pediatrica

Montealegre

2018

Acta otorrinolaringol cir cabeza cuello

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Estudio descriptivo de los pacientes pediátricos llevados a cirugía de Timpanoplastia tipo I entre Ene/2009 a Jun/2016. Se logro recopilar la información de 89 pacientes, con un total de 117 oídos operados. La población fue distribuida en tres grupos de acuerdo con la edad al momento del procedimiento quirúrgico así; entre 2 y 5 años (23,08%), entre 6 y 8 años (50,43%) y entre 9 y 11 años (26,50%). El tamaño de la perforación fue; <25% en 17.9% (22), entre 26-50% en el 29,1% (34 ), entre el 51 al 75% fue del 23,9% (27) y >76% de 29,1% (34). Los resultados audiológicos evaluados que se obtuvieron después de comparar los promedios de GAP aéreo óseo y PTA pre y postoperatorios de cada grupo mostraron mejoría esta solo fue estadísticamente significativa en los grupos de entre 6 y 11 años. Los resultados anatómicos medidos por cierre del neotimpano fue exitoso en el 88,9% (24) de los niños entre 2-5 años, del 83,1% (49) de los niños entre 6 y 8 años y del 80,7% (25) de los niños entre 9 y 11 años, sin diferencias entre los grupos.

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Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Jungbauer

Jeong

Nguyen

et al. 2023

Otolaryngol.--head neck surg.

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Objective To compare the anatomic success rates of type I tympanoplasty (tympanoplasty) versus myringoplasty. By our definition, tympanoplasty involves entering the middle ear via elevation of a tympanomeatal flap, while myringoplasty involves surgery to the drumhead without middle ear exposure. Data Sources PubMed, Scopus, CINAHL, Cochrane. Review Methods To be included, studies must have documented surgical technique, tympanic membrane (TM) perforation size (as % of TM), and success rate using tissue or alloplastic grafts. Exclusion criteria included series with more than 10% of patients with cholesteatoma or middle ear pathology. A meta‐analysis of weighted summary proportions under the random effects model was performed, and proportion differences (PD) were calculated. A secondary analysis of hearing outcomes was performed. Results Eighty‐five studies met inclusion, with a tympanoplasty cohort of n = 7966 and n = 1759 for myringoplasty. For perforations, less than 50% of the TM, the success rate for tympanoplasty and myringoplasty was 90.2% and 91.4%, respectively (PD: 1.2%, p = .19). In perforations greater than 50%, tympanoplasty and myringoplasty success rates were 82.8% and 85.3%, respectively (PD: 2.5%, p = .29). For both procedures, perforations less than 50% of the TM had higher success rates than perforations greater than 50% of the TM (p < .01). Both techniques endorsed significant improvements to air‐bone gap (ABG) metrics. Conclusion Our analysis suggests that the anatomic success rate is similar for tympanoplasty and myringoplasty, regardless of perforation size, and that smaller perforations experience higher success rates in both techniques. ABG outcomes were also similar between procedure techniques.

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Myringoplasty in children: retrospective analysis of 35 cases

Cited by 17 publications

References 14 publications

Final Surgical Outcome and Audiological Recovery of Hearing Loss in Postoperative Myringoplasty in Children With Csom: Our Results

Final Surgical Outcome and Audiological Recovery of Hearing Loss in Postoperative Myringoplasty in Children With Csom: Our Results

Resultados Anatómicos Y Audiológicos en Timpanoplastia Tipo I La Población Pediatrica

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

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