Pediatric type 1 cartilage tympanoplasty outcomes: A comparison of short and long term hearing results

Kaya, İsa; Benzer, Murat; Göde, Sercan; Sahin, Furkan E.; Bilgen, Cem; Kirazlı, Tayfun

doi:10.1016/j.anl.2017.11.002

Cited by 14 publications

(15 citation statements)

References 14 publications

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“…There has been no consensus so far about the ideal graft material for tympanoplasty. Kaya et al and Çayir et al have reported a high success rate (96-97%) with cartilage tympanoplasty; similar results have been noted by Ozbek, Yegin and Friedman et al 10,12,[25][26][27] On the other hand, Demirci, Şen et al and Özdamar et al have noted no difference in cartilage and fascia tympanoplasties: whereas Bozdemir et al found better results with fascia, compared with conchal cartilage. [28][29][30][31] Mohamad et al, in their systematic review, reported that tympanoplasties with cartilage to have a better morphological outcome than fascia; however, they did not find much difference in hearing outcomes.…”

Section: Discussionsupporting

confidence: 58%

“…3,4 Numerous publications have assessed factors influencing the outcome of pediatric tympanoplasty. 2,4,[8][9][10] There are conflicting reports from different parts of the world with varying population subgroups, on the role of age, the status of the contralateral ear, the role of adenoids and the type of graft material. [2][3][4][8][9][10][11] Our success rate of 91.7% was comparable to the successful outcome of adult tympanoplasty.…”

Section: Discussionmentioning

confidence: 99%

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A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

Naina

Pokharel

Syed

et al. 2020

Int Arch Otorhinolaryngol

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Introduction The surgical outcome of chronic otitis media (COM) of the mucosal type in the pediatric population with high rates of recurrent tympanic membrane perforation is indeed a concern for the attending surgeon. Objective The present study was done to evaluate the outcome of tympanoplasty in children with chronic otitis media mucosal type. Methods A retrospective analysis of the medical records of all children, aged < 16 years old, who underwent tympanoplasty for COM of the mucosal type was performed. These patients were addressed by a three-point assessment, for predicting outcome of tympanoplasty, which included the age of the patient, addressing the nasal/pharyngeal issues, and the status of the COM (discharging or dry). Surgical success was assessed in terms of graft uptake and improvement of hearing. Factors affecting the surgical outcome were also analyzed. Results A total of 90 children underwent type 1 tympanoplasty; 7 were lost to follow-up and 10 had incomplete audiometric results. In the 73 tympanoplasties analyzed, graft uptake was seen in 91.7% of the patients. Children with longer duration of ear discharge (> 8 years) had greater hearing loss. Children aged > 8 years old showed statistically significant higher chance of graft uptake (p = 0.021). Five of the six children who had graft rejection had bilateral disease. Conclusion A three-point assessment in the management of pediatric COM of the mucosal type offers good outcomes with post-tympanoplasty graft uptake rates > 90%.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

Naina

Pokharel

Syed

et al. 2020

Int Arch Otorhinolaryngol

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“…The success rate of tympanoplasty decreases with time. 20,21 The success rate of tympanoplasty with long-term follow-up is lower than that with short-term follow-up. 17,22 As the follow-up time increases, more patients have surgical failure.…”

Section: Discussionmentioning

confidence: 99%

Type 1 tympanoplasty in patients with large perforations: Comparison of temporalis fascia, partial-thickness cartilage, and full-thickness cartilage

Caixia

Liu

et al. 2020

J Int Med Res

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Objective This study aimed to compare the results of different graft materials in type I tympanoplasty for patients with a large perforation of the tympanic membrane. Methods We performed a retrospective study on 180 patients with type I tympanoplasty. The patients were divided into three groups according to the repair materials used. Age, sex, pre- and postoperative hearing levels, mean air–bone gap, rate of graft success, hearing gain, and the postoperative graft failure rate were evaluated. We continued to follow-up the patients to 1 year after surgery. Results The air conduction threshold was significantly higher before the operation than after the operation in the temporalis fascia, partial-thickness cartilage, and full-thickness cartilage groups. Although the hearing gain in the temporalis fascia group and the partial-thickness cartilage group was higher than that in the full-thickness cartilage group, there was no significant difference in the graft success rate among the groups. Conclusions Temporalis fascia, partial-thickness cartilage, and full-thickness cartilage can be used as appropriate transplantation materials for tympanoplasty type I in patients with a large perforation. Temporalis fascia and partial-thickness cartilage may be best for improvement of hearing.

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“…At 3 years, the rate of reperforation was very low (one case out of 66, 2%) but the rate of myringitis was surprisingly high (9%) and could be a consequence of the use of cartilage to close the TM. Although no statistical link has been established, it has been described previously in other cartilage tympanoplasty studies (14,15). No specific clinical characteristic was identified in children with myringitis.…”

Section: Discussionmentioning

confidence: 70%

Factors influencing cartilage tympanic perforation repair in children.

Simón¹,

B²,

Rabeony³

et al. 2021

Preprint

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Objectives: The aim of the study was to identify factors that could influence the repair of eardrum perforation using cartilage graft (or cartilage tympanoplasty) in children. Methods: A cohort of children operated on between January 1998 and December 2012 was reviewed. We have studied the repair rate of the eardrum (anatomical result) and the hearing level with audiometric tests (functional result) at 1 year and 3 years after surgery. These results were correlated with size or location of the perforation, status of the contralateral ear, gender, allergies, cleft palate, craniofacial anomalies, expertise of the surgeon (junior, senior) and perioperative observations (mucosa, glue, etc.). Results: 1240 tympanoplasties were selected from the database, of which 139 ears (127 patients) could be analysed (perforation without concurrent disease, authorisation from patients obtained and sufficient information reported). Mean age at surgery was 9.6 years ± 2.6 (range 4-16). At one year, 129/139 (93%) tympanic membranes were closed and 112/139 (81%) were satisfactory (no residual perforation, nor retraction, cholesteatoma, myringitis or OME). Air-bone gap was < 20 dB in 102/127 ears (80%). At 3 years, the eardrum was closed in 64/66 (97%) ears (reperforation in one case) and 82% were satisfactory. Myringitis occurred in 5% and 9% of cases at one- and three-year follow-up. Surgery before the age of 8 years was the only risk factor of a non-satisfactory result at one-year follow-up (p = 0.024). Conclusions: Long-term results were satisfactory; the only risk factor was surgery before eight years of age. In the child, long-term yearly follow-up is necessary after tympanic perforation.

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Pediatric type 1 cartilage tympanoplasty outcomes: A comparison of short and long term hearing results

Cited by 14 publications

References 14 publications

A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

Type 1 tympanoplasty in patients with large perforations: Comparison of temporalis fascia, partial-thickness cartilage, and full-thickness cartilage

Factors influencing cartilage tympanic perforation repair in children.

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