Tympanoplasty in Children

Gans, Henryk

doi:10.1001/archotol.77.4.18

Cited by 4 publications

(6 citation statements)

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“…Today, the success rate of tympanoplasty still remains a considerable interest. There has been a particular attention to the outcomes of tympanoplasty in the pediatric age group since 1960s [ 2 , 3 ]. In the literature, a success rate of tympanoplasties in children ranging from 35 to 94% [ 4 , 5 ].…”

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confidence: 99%

Type 1 tympanoplasty in pediatric patients: a review of 102 cases

et al. 2018

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BackgroundThe aim of this study was to investigate the success of type 1 tympanoplasty in pediatric patients with chronic otitis media, and to evaluate the prognostic factors that may influence its success.Materials and methodsMedical records of 102 children aged between 8 and 18 years (46 female, 56 male) who underwent type 1 tympanoplasty for chronic tympanic membrane perforation between January 2010 and July 2017 were reviewed. Age, gender, condition of contralateral ear (unilateral, bilateral), type (central, marginal) and location of perforation (anterior, posterior, inferior), graft material (fascia, cartilage), pre- and post-operative hearing levels, mean air-bone gap (ABG), surgical approach (postauricular, endaural) and length of follow up were recorded.ResultsAnatomical and functional success (ABG < 20 dBHL) rates were 86.3% (88 patients) and 74.5% (76 patients) after a mean follow-up of 32 ± 16.55 months, respectively. The mean hearing improvement was 10.77 ± 10.45 dBHL. The graft success rates were significantly higher in tragal cartilage group (95.1%) than in temporalis fascia group (80.3%) (p = 0.033). Graft success was negatively affected by contralateral perforation (p = 0.003). All patients with bilateral perforations and graft failure were in temporalis fascia group. Age, type and location of perforation and surgical approach did not influence graft success (p > 0.05).ConclusionOur results showed that type 1 tympanoplasty can be performed effectively in pediatric population regardless of age, location and type of perforation and surgical approach. Bilateral perforations are prone to reperforation, and should be treated with cartilage graft.

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Section: Introductionmentioning

confidence: 99%

Type 1 tympanoplasty in pediatric patients: a review of 102 cases

et al. 2018

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“…Tympanoplasty in children remains a controversial subject. Most otologic surgeons believe that the results of tympanoplasty are less satisfactory in children than in adults (Gans, 1963). Reasons cited for poor results are: immaturity of Eustachian tube function (Bluestone et al, 1979), high incidence of recurrent upper airway infections and the surgical difficulty presented by a narrow external ear canal in children (Koch et al, 1990).…”

Section: Introductionmentioning

confidence: 99%

Tympanoplasty in children – a prospective study

1998

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Considerable controversy surrounds the subject of tympanoplasty in children. This prospective study looked at the results of type-I tympanoplasty in children. Forty-five children in the age group of five to 14 years were selected for the study. All these cases had a central perforation without any evidence of cholesteatoma. The ear to be operated had to be dry for at least six weeks before surgery. Type I tympanoplasty was performed on these patients with autograft temporalis fascia by either the underlay or overlay technique.The overall success rates in 45 operations evaluated one year post-operatively was 91.1 per cent. The age of the patient had no influence on the success rate. The two factors which adversely influenced the success rate were the presence of near total perforation and bilateral perforations.It was concluded that type-I tympanoplasty has a good chance of success in children regardless of age.

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confidence: 99%

“…Outcomes in the pediatric age group have received particular attention from surgeons since the 1960s (3,4). Tympanoplasties performed for tympanic membrane perforations in children are often regarded as being less successful than those performed in adults (3,5). Several factors are proposed to contribute to a higher failure rate in children: propensity towards acute otitis media; impaired Eustachian tube function; presence of adenoidal tissue; technical/anatomical differences; and perhaps, most debatably, the child's age.…”

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confidence: 99%