Tympanoplasty in pediatric patients

Uyar, Yavuz; Keleş, Bahar; Koç, Sema; Öztürk, Kayhan; Arbağ, Hamdi

doi:10.1016/j.ijporl.2006.06.007

Cited by 68 publications

(64 citation statements)

References 20 publications

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“…Uyar et al [27] analyzed multiple preoperative factors, including otorrhea, in 41 pediatric patients who underwent tympanoplasty. They determined that the graft success rates were higher and that postoperative 259 Table 2.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Övet¹,

Alataş²,

Şentürk³

et al. 2016

Int Adv Otol

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OBJECTIVE:It is an ongoing debate whether tympanoplasty should be performed in the pediatric age group. The purpose of this study was to analyze and compare the anatomical and functional outcomes of type I cartilage tympanoplasty in children and adults. MATERIALS and METHODS:The file records of patients who underwent type 1 cartilage tympanoplasty were retrospectively reviewed. In total, 133 patients who underwent type 1 tympanoplasty for chronic otitis media were included. Tragal cartilage grafts were used in all patients. The patients were divided into two groups: pediatric (age≤16 years, n=54) and adult (age>18 years, n=79) groups. The graft success rates and hearing results between the two groups were compared. RESULTS:The graft success rate was 90.2% (120/133) in the study group. At the end of the 24-month follow-up, the graft was intact in 48 of the 54 (88.9%) patients in the pediatric group and 72 of the 79 patients in the adult group (91.1%) (p=0.769). The functional success rate (postoperative air-bone gap<20 dB) obtained in the study group was 90.2% (120/133). The functional success rate was 88.9% (48/54) in the pediatric group and 91.1% (72/79) in the adult group (p=0.255). CONCLUSION:The graft success rates and hearing results obtained with cartilage grafts are similar in children and adults. Therefore, cartilage grafts may be safely used in pediatric patients, similar to their use in adults.

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Section: Discussionmentioning

confidence: 99%

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Övet¹,

Alataş²,

Şentürk³

et al. 2016

Int Adv Otol

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“…The mean age was 13.2±2.7 (8)(9)(10)(11)(12)(13)(14)(15)(16), and the mean follow-up time was 17 (7-36) months. For 25 patients (56.8%), conchal cartilage was used as graft material, and for 19 patients (43.2%), tragal cartilage was used.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to age, there are many prognostic factors, such as a history of otorrhea, Eustachian tube function, location and size of the perforation, surgery technique, and the type of graft material, that contribute to the success rate in children. In a study by Uyar and colleagues in which they evaluated the results of tympanoplasty surgery in children, it was reported that the success rate of surgery was higher in pre-operative dry ears (11). Some authors (12,13) found that the surgical success rate was higher in small and posterior perforations, but others reported that the location and size of the perforation did not contribute to surgical success (6,11).…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Uyar and colleagues in which they evaluated the results of tympanoplasty surgery in children, it was reported that the success rate of surgery was higher in pre-operative dry ears (11). Some authors (12,13) found that the surgical success rate was higher in small and posterior perforations, but others reported that the location and size of the perforation did not contribute to surgical success (6,11). Eustachian tube function is considered an important prognostic factor for pediatric tympanoplasty surgery.…”

Section: Discussionmentioning

confidence: 99%

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Anatomic and Functional Results of Cartilage Type 1 Tympanoplasty in Children and the Evaluation of the Success of Surgery with Parental Perceptions

Yılmaz¹,

Güven²,

Kayabaşoğlu³

et al. 2014

Turk Arch Otolaryngol

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Objective: This study aims to determine the anatomic and functional results of cartilage Type 1 tympanoplasty in children and to evaluate the success of surgery with parental perceptions. Methods:Only pediatric patients who had undergone cartilage Type 1 tympanoplasty were included in this study. Patients older than 16 years and patients who had otorrhoea during the previous month, chronic otitis media with cholesteatoma and patients who had undergone mastoidectomy or ossiculopasty were excluded. The 'anatomical' success was accepted as an intact graft in the last control in the at least 6 th month postoperatively. A satisfaction questionnaire with four questions about the perceptual results of surgical intervention was applied to the patients' parents on the telephone. Results:In total, 44 ears of 41 cases (22 male 19 female) were included in the study. The mean age was 13.2±2.7 (8-16) and the mean follow-up time was 17 (7-36) months. Anatomical success rate was 88.6% (39/44). As a preoperative mean, the pure tone hearing threshold was 30.7±7.7 dB and the postoperative mean pure-tone hearing threshold was 18.8±7.8 dB. Among the operated ears, 88.6% (39/44) of the perforations were treated successfully. Of the 41 paediatric patients' parents, only 28 (68.2%) could be reached by telephone; nineteen (68%) of the 28 parents contacted thought that the hearing level had improved postoperatively and only 10 parents (35%) stated that his/her child could attend a preoperatively-restricted activity postoperatively. Conclusion:Outcomes of cartilage tympanoplasty in children satisfy both surgeons and parents. Chronic otitis media in children must be managed with surgery as soon as favourable conditions are provided.

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“…5,6 Perforations in the anterior quadrant of the TM represent a worse surgical access in order to reach the anterior border and they are also less vascularized owing to which they are considered an important success factor for surgery. 7 Hallik et al in their long term results of tympanic membrane repair found that the anterior perforations healed more poorly.…”

Section: Discussionmentioning

confidence: 99%

A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM

Muqtadir

Rahul

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic otitis media (COM), is a common ailment with which patients present to the ENT OPD. In patients with COM, the active infection needs to be controlled following which the definitive line of management is surgery. Tympanoplasty is the surgery performed with the goals of establishing an intact tympanic membrane, eradicating middle ear disease, creating an air-containing middle ear space and restoring the hearing by building a secure connection between the ear drum and the cochlea. Methods: 50 patients presenting with CSOM in ENT OPD at Medical College. Preoperative audiometry was done before tympanoplasty, followed by post-operative audiometry after 3 months. Results: The mean air-bone gap closure was 12.06 dB; with type I tympanoplasty with cortical mastoidectomy giving a maximum mean improvement of 16db. Minimum mean improvement of 1db was seen in type IV with modified radical mastoidectomy. Conclusions: Type I tympanoplasty with cortical mastoidectomy is a far superior method of surgical treatment of CSOM than all other methods.

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Tympanoplasty in pediatric patients

Cited by 68 publications

References 20 publications

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Anatomic and Functional Results of Cartilage Type 1 Tympanoplasty in Children and the Evaluation of the Success of Surgery with Parental Perceptions

A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM

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