Pediatric tympanoplasty: A paradigm shift?

Marques, Joana A.S.; Sousa, Mafalda; Leal, Laurentino Mendes; Spratley, Jorge; Santos, Margarida

doi:10.1016/j.otorri.2020.10.003

Cited by 2 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous middle ear surgery (not tube) was a parameter that increased the risk for a failed surgical outcome in this study. This is in line with earlier published reports, 16,23 and PA in revision surgeries is shown to not significantly increase a successful surgical result.…”

Section: Discussionsupporting

confidence: 93%

Prophylactic antibiotics has no benefit for outcome in clean myringoplasty—A register‐based cohort study from SwedEar

Westman

Höglund

Nilsson

et al. 2023

Clinical Otolaryngology

View full text Add to dashboard Cite

ObjectivesTo investigate if prophylactic antibiotics (PA) in conjunction with myringoplasty of clean and uninfected ears entails a reduction of postoperative infections within 6 weeks after surgery, and whether it affects the healing rate of the tympanic membrane (TM) at follow‐up, 6–24 months after surgery.DesignA retrospective cohort study of prospectively collected data.SettingData extracted from The Swedish Quality Register for Ear Surgery (SwedEar), the years 2013–2019.ParticipantsAll patients in SwedEar with a registered clean conventional myringoplasty (tympanoplasty type I) including a follow‐up visit.Main Outcome MeasuresThe effect of PA use on TM healing rate at follow‐up and postoperative infection within 6 weeks of surgery.ResultsIn the study group (n = 1665) 86.2% had a healed TM at follow‐up. There was no significant difference between the groups that had PA administered (87.2%) or not (86.1%). A total of 8.0% had a postoperative infection within 6 weeks. Postoperative infection occurred in 10.2% of the group that received PA (n = 187) compared with 7.7% of the group that did not receive PA. However, this difference was not statistically significant. Postoperative infection within 6 weeks significantly lowered the frequency of healed TMs.ConclusionPA administered during clean conventional myringoplasty does not improve the chance of having a healed TM at follow up, nor decrease the risk of having a postoperative infection within 6 weeks after surgery.

show abstract

Section: Discussionsupporting

confidence: 93%

Prophylactic antibiotics has no benefit for outcome in clean myringoplasty—A register‐based cohort study from SwedEar

Westman

Höglund

Nilsson

et al. 2023

Clinical Otolaryngology

View full text Add to dashboard Cite

show abstract

“…A single study found perforation location to be predictive of anatomic failure. 8 The remaining studies showed that perforation location did not significantly impact anatomic 10,26,29,30,[32][33][34][35][36][37][38][39][40][41][42][43] or functional 10,29,34,44 success.…”

Section: Anterior Perforationsmentioning

confidence: 98%

Tympanoplasty in the Setting of Complex Middle Ear Pathology: A Systematic Review

Gutiérrez

Cabrera

Stout

et al. 2023

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Objective: To assess the prognostic factors for anatomic and hearing success after tympanoplasty in the setting of complex middle ear pathology. Methods: A systematic review was performed in January 2022. English-language articles describing outcome data for tympanoplasty repair variables including underlying pathology, perforation location, smoking status, graft technique, reconstruction material, anatomic success, and hearing success were extracted. Articles were included when tympanosclerosis, retraction pockets, adhesions, cholesteatoma, chronic suppurative otitis media, anterior perforations, and smoking were included. Underlying pathology, perforation location, smoking status, graft technique, reconstruction material, anatomic success, and hearing success were extracted. Any factors analyzed as potential indicators of success were sought out. Results: Data sources included PubMed, OVID, Cochrane, Web of Science, Scopus, and manual search of bibliographies. Ninety-three articles met final criteria, which accounted for 6685 patients. Fifty articles presented data on both anatomic and hearing outcomes, 32 articles presented data on anatomic outcomes only, and 11 articles presented data on hearing outcomes only. This systematic review found that adhesions and tympanosclerosis were prognostic factors for poorer hearing. Additionally, smoking and tympanosclerosis may be predictive of anatomic failure; however, the significance of this finding was mixed in included studies. This analysis is significantly limited by both the heterogeneity within the patients and the lack of controls. Conclusion: Adhesions and tympanosclerosis were prognostic factors for poorer hearing. Clearly documented methods and outcomes for the included pathologies could lead to more definitive conclusions regarding prognostic factors for success. Level of Evidence: 3B

show abstract

Pediatric tympanoplasty: A paradigm shift?

Cited by 2 publications

References 12 publications

Prophylactic antibiotics has no benefit for outcome in clean myringoplasty—A register‐based cohort study from SwedEar

Prophylactic antibiotics has no benefit for outcome in clean myringoplasty—A register‐based cohort study from SwedEar

Tympanoplasty in the Setting of Complex Middle Ear Pathology: A Systematic Review

Contact Info

Product

Resources

About