Meta-analysis of Pediatric Tympanoplasty

Vrabec, Jeffrey T.; Deskin, Ronald W.; Grady, James J.

doi:10.1001/archotol.125.5.530

Cited by 162 publications

(164 citation statements)

References 23 publications

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“…Salviz et al [29] reported that presence of adenoid hypertrophy was associated with low success rates. We did not find any statistically significant difference between patients who had or had not undergone previous adenoidectomy, a result that agrees with those published by most authors [5,9,15]. Ribeiro et al [7] reported that a previous adenoidectomy in patients older than 10 years seem to be an independent predictor of functional success.…”

Section: Role Of Adenoidecomysupporting

confidence: 91%

“…Rozendorn et al [19] reported that age under 9 years is associated with significantly higher rates of persistant and recurrent perforations. Vrabec et al [5] found better success rate with advancing age. Pignataro et al [9] and Denoyelle et al [16] had reported no significant correlation between age and surgical outcome.…”

Section: Patient Agementioning

confidence: 94%

“…While Blanshard et al [1], Gianoli et al [2] and Mak et al [3] prefer to perform surgery as soon as possible in order to prevent disease progression, ossicular chain erosion, cholesteatoma formation, avoid hearing loss in speech development period and allow swimming activities, Koch et al [4] and Vrabec et al [5] prefer to delay the operation because the high incidence of upper respiratory tract infections during childhood, unpredictable Eustachian tube function, immature immunity and possible spontaneous healing. The success rates of tympanoplasties in children reported in literature vary from 35% to 92% and 94% [6][7][8][9] Problems associated with auditory tube dysfunction and higher incidence of upper respiratory tract infections, may be a reason for poor tympanoplasty results in children than in adults [7].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Role Of Adenoidecomysupporting

confidence: 91%

Section: Patient Agementioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Evaluation of Type I Tympanoplasty in Children in Upper Egypt

Elmagd¹,

Sobhy²

2017

Otolaryngol

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“…However, some researchers have suggested that tympanoplasty should be postponed until the age of 7, 10, 11, and 12 years in children [18][19][20][21] . Vrabec et al [22] performed a meta-analysis of 30 studies including a 30-year period and reported age-specific data. They concluded that age contributed to postoperative successful recovery rates and that other parameters did not have any significant relationships with a good outcome.…”

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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“…A meta-analysis done by Vrabec et al 17 considering the effect of otorrhea on closure rate indicates that tympanoplasty on a discharging ear is as successful as in a dry ear.…”

Section: 6-15mentioning

confidence: 99%

Tympanoplasty Outcomes In Dry and Wet Ears

Gamra¹,

Nacef²,

Romdhane³

et al. 2016

Otolaryngol Open J

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Citation Tympanoplasty Outcomes in Dry and Wet EarsPage 51 Research ABSTRACT Introduction: Chronic suppurative otitis media is a major public health problem in children and adults. Tympanoplasty is a surgical procedure which aims to prevent recurrent otorrhea and restore hearing ability. Objective: To compare the graft uptake and the hearing outcome of tympanoplasty in non cholesteatomatous chronic otitis media between wet and totally dry ears. Methods: A total of 108 wet ears (with mucoid discharge) and 232 dry ears (at least 3 months before surgery) with chronic suppurativeotitis media were operated on by myringoplasty between 2000 and 2014. Postoperative graft uptake and hearing gain rates were compared between both groups. Results: Cartilage was used in 100% of wet ears and 35% of dry ears. In the other cases, temporalis fascia was the chosen graft. Anatomical success rate was 88% for the wet ear group and 87.5% for the dry ear group. The hearing gain rate was 62%% for the wet ear group and 56% for the dry ear group. Differences were found to be statistically non significant for both graft intake (p=0.9) and hearing gain (p=0.29). In the wet ear group, only age <40 years was found to be a predictive factor of audio logical success in tympanoplasty (p=0.001). Conclusion:The success of myringoplasty is not adversely affected by the presence of mucoid ear discharge at time of surgery, and outcomes are comparable to those of the operation done for dry ears.

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Meta-analysis of Pediatric Tympanoplasty

Abstract: Greater success in healing of the tympanic membrane following tympanoplasty in children is seen with advancing age. None of the other parameters studied was shown to be a significant predictor of success. Guidelines for reporting results of tympanoplasty are presented.

Cited by 162 publications

References 23 publications

Evaluation of Type I Tympanoplasty in Children in Upper Egypt

Evaluation of Type I Tympanoplasty in Children in Upper Egypt

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

Tympanoplasty Outcomes In Dry and Wet Ears

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