The effect of age on pediatric tympanoplasty outcomes: A comparison of preschool and older children

Pediatric endoscopic ear surgery in clinical practice: Lessons learned and early outcomes

“…Tympanoplasty closure rates were similar to rates previously reported in the pediatric otology literature. Specifically, our overall closure rate of 81.3% falls within the 35% to 94% range of pediatric tympanoplasty closure rates described by Sarkar et al and is comparable to the 72.5% overall pediatric tympanoplasty closure rate described by Duval et al In our series, no difference was observed in closure rates whether tympanoplasty was performed using TEES or a non‐TEES approach. Hearing outcomes were better in the TEES group, with a PTA difference of −7.8 dB for TEES cases and −1.33 dB for non‐TEES cases.…”

“…Hearing outcomes in this study may have been subject to selection bias as the authors may have chosen to use a postauricular approach in more challenging cases, reserving TEES for ears with less inflammation or smaller perforations. Conversely, the non‐TEES group was noted to be significantly older, which may have introduced bias toward a better closure rate for the non‐TEES group, as several studies have demonstrated higher tympanoplasty closure rates for older children . Future studies could reduce this bias by prospectively recording degree of difficulty in terms of inflammation, perforation size, and location of perforation, or by randomizing cases to TEES versus postauricular approach.…”

“…Conversely, the non-TEES group was noted to be significantly older, which may have introduced bias toward a better closure rate for the non-TEES group, as several studies have demonstrated higher tympanoplasty closure rates for older children. [15][16][17] Future studies could reduce this bias by prospectively recording degree of difficulty in terms of inflammation, perforation size, and location of perforation, or by randomizing cases to TEES versus postauricular approach. Despite the potential for bias, these data do suggest that TEES is not inferior to traditional postauricular tympanoplasty with regard to perforation closure rates and hearing outcomes in children.…”

Evaluation of Type I Tympanoplasty in Children in Upper Egypt

“…This result is concordant with the findings of Pignataro et al [9] and Chandrasekhar et al [12]. This may have been due to the fact that our patients were aged from 7 to 14 years and were thus probably unaffected by inefficient tube function observed in children under the age of seven [23], Duval et al [24] reported that children younger than 4 years of age had the worst outcome after tympanoplasty.…”

Endoscope or microscope‐guided pediatric tympanoplasty? Comparison of grafting technique and outcome

“…22,23 Little anthropometric data seem to have been published on tragal growth, but from experience, the tragus is barely as large as the pars tensa in young children. Although tympanoplasty might not be commonly recommended at younger ages, 24,25 it is obviously preferable to have a larger graft available, especially for the underlay technique and subtotal perforations. Nonautogenous graft material was used increasingly during this series, allowing even subtotal perforations to be repaired with TEES.…”