A Longitudinal Study on Pediatric Myringoplasty

Yung, Matthew; Neumann, Codruta; Vowler, Sarah L.

doi:10.1097/mao.0b013e318030d384

Cited by 64 publications

(55 citation statements)

References 8 publications

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“…We believe that the high anatomical failure rates at 2 years are no longer solely related to the surgery, and that extrinsic factors to the myringoplasty come to play after 12 months of postoperative follow-up. Our results parallel favourably with recently published studies [8,9,[11][12][13][14][15]. We believe that it is important to standardize the criteria of anatomical success in order to be able to critically compare published results.…”

Section: Discussionsupporting

confidence: 90%

“…They defined successful myringoplasties as ones in which ears that presented intact tympanic membranes with no evidence of otitis media with effusion (OME), cholesteatoma or high negative pressure within a 12-24 month follow-up period. Two decades later, Yung et al [9] reported a similarly reduced success rate of 63% when stricter criteria of intact tympanic membrane with no evidence of OME, atelectasis, discharge, myringitis and stability of hearing were applied. In the last decade, anatomical success rates for pediatric myringoplasty have been reported between 59% [10] and 95% [8].…”

Section: Discussionmentioning

confidence: 99%

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Pediatric myringoplasty: A study of factors affecting outcome

Knapik

Saliba

2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Pediatric myringoplasty: A study of factors affecting outcome

Knapik

Saliba

2011

International Journal of Pediatric Otorhinolaryngology

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“…Age is often cited as a key prognostic factor in evaluation for tympanoplasty in children [15,19,22,23].…”

Section: Discussionmentioning

confidence: 99%

“…Many factors may influence the surgical outcome of tympanoplasty in children, such as age, the size and location of perforation, status of the operated and contralateral ear, www.elsevier.com/locate/anl Auris Nasus Larynx 38 (2011) [21][22][23][24][25] presence of hypertrophic adenoids, function of the auditory tube and surgeons' experience [10,15,17].…”

Section: Introductionmentioning

confidence: 99%

Tympanoplasty in children: A review of 91 cases

Ribeiro¹,

Cerejeira²,

Silvestre³

et al. 2011

Auris Nasus Larynx

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Objectives: There is a marked diversity in the reported success rates for achieving an intact tympanic membrane following tympanoplasty. Controversy exists about the factors thought to influence surgical outcome. These facts have important implications for the selection of patients who would benefit the most. This study reviews the factors thought to determine the anatomical and functional success of tympanoplasty in children. Materials and methods: Retrospective study of the anatomical and functional results of 91 tympanoplasties performed in children. Age, gender, size and site of perforation, status of operated and contralateral ear, underlying cause of the perforations, surgical technique, preoperative and post-operative hearing levels, post-operative follow-up time and post-operative complications were recorded. We divided our population into two groups according to the expected eustachian tube maturity (younger group (N = 24): 10 years old, older group (N = 67): >10 years old). All patients were evaluated in terms of anatomical and functional outcome and complications. Results: Anatomical success was achieved in 85.7% and functional success was 76.9% after a mean follow-up of 25.6 AE 17.1 months. Anatomical success (intact tympanic membrane) was achieved in 83% of younger vs 87% of older patients ( p = n.s.). Functional (air bone gap closure) success was 75% in the younger group vs 78% in the older group ( p = n.s.). There were no significant differences in post-operative gain at different frequencies (500, 1000, 2000 and 3000 Hz) between the two groups. A previous adenoidectomy in children older than 10 years seems to be an independent predictor of functional success The incidence of minor and major complications were 29% in patients aged 10 and 21% in those older than 10 ( p = n.s.). We report 12.9% minor post-operative complications in successful cases: injury to the chorda tympani nerve (5.7%), wound infection (2.9%), otitis externa (2.9%) and transient vertigo (1.4%). Among the 21 reperforations observed, 92.3% occurred before 1 year. Conclusions: This study shows that tympanoplasty is a valid treatment modality for tympanic membrane perforation in the pediatric population. A tympanic membrane perforation can be closed at any age. There is no age limit below which perforation should not be closed. A previous adenoidectomy in children older than 10 years seems to be an independent predictor of functional success. #

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“…Kumar et al [20] in a retrospected study published 2010 reported the results of 132 tympanoplasties performed in children ranging from 6-15 years, no statistical significant difference between age and successful result were found. On the other hand, Gupta and Mishra [8], Lin and Messner [21] and Yung et al [22] reported that age is a key prognostic factor in evaluation for tympanoplasty in children.…”

Section: Patient Agementioning

confidence: 99%

Evaluation of Type I Tympanoplasty in Children in Upper Egypt

Elmagd¹,

Sobhy²

2017

Otolaryngol

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Objective: This study was undertaken to evaluate the surgical outcome of type1 tympanoplasty in selected cases of children with tympanic membrane perforation and asses factors influencing their outcome. Subjects and Method:The study includes a total of 82 children of age group 7 to 14 years who underwent type1 tympanoplasty in Aswan university hospital between January 2014 to August 2016 after approval from Aswan faculty of medicine ethics committee. The patients were divided into two groups, group I of 30 cases aged from 7 to 10 years and group II of 52 cases aged from 11 to 14. Patients with cholestatoma, ossicular chain pathology, previous tympanic surgery or Eustachian tube pathology were excluded from the study. Results:In our study the overall success rate was 66 cases out of total of 82 cases (80%). The success rate was higher in group I (83.3%) than in group II (78.8%) but the difference was not statistically significant. In terms of prognostic factors, we observed a statistically significant association between the presence of a discharging ear and a poor outcome (P<0.001), also there was significant association between duration of discharge and poor results (P<0.01). Conclusion:The age of the patients, size and site of perforation, prior adenoidectomy or adenotonsillectomy, do not significantly influence the post-operative outcome. Although tympanoplasty is less successful in bilateral perforation, but this is not of significant value.

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A Longitudinal Study on Pediatric Myringoplasty

Abstract: There was no evidence that age influenced surgical outcome in pediatric myringoplasty. Although the graft take rate was more than 80%, true success was only found in two thirds of cases.

Cited by 64 publications

References 8 publications

Pediatric myringoplasty: A study of factors affecting outcome

Pediatric myringoplasty: A study of factors affecting outcome

Tympanoplasty in children: A review of 91 cases

Evaluation of Type I Tympanoplasty in Children in Upper Egypt

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