Myringoplasty in children

Shih, Lucy; Tar, T de; Crabtree, James A.

doi:10.1177/019459989110500110

Cited by 67 publications

(64 citation statements)

References 5 publications

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“…They proposed that tympanoplasty can be performed in children 8 years and older. 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.…”

Section: Discussionmentioning

confidence: 99%

“…Factors such as Eustachian tube dysfunction, immature immune system, and frequent upper respiratory tract infections are believed to affect the success of pediatric tympanoplasty, and it has been supposed that tympanoplasty is generally less successful when performed in the pediatric population [1] . Therefore, some authors do not recommend tympanoplasty in children [2,3] .…”

Section: Introductionmentioning

confidence: 99%

“…The most commonly used graft materials in tympanoplasty is the temporalis muscle fascia, and the success rate is reported to be between 60% and 99% in adults and between 35% and 94% in children [1][2][3][4][5] . Recently, many surgeons prefer cartilage graft for revision cases, subtotal perforations, and risky cases such as atelectasis and retraction due to the high stability of the cartilage and its resistance to negative middle ear pressure.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…Shih et al described a success rate of 54% for children of 10 years and younger compared to 94% for children over 11 years of age. 16 Chandrashekhar et al did not find any difference in success rates depending on age of the patient. 17 We have selected only cases above 15 years in our study for ease of the procedure under local anaesthesia and less chances of upper respiratory infections, even though literature have shown that age may not be a factor in fat grafting.…”

Section: Resultsmentioning

confidence: 90%

Endoscopic Fat Grafting of Small and Residual Tympanic Membrane Perforations- A Clinical Study

Veetil¹,

Rajendran²,

Mukundan³

et al. 2017

jemds

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BACKGROUNDFat patch grafting is a simple effective alternative to conventional tympanoplasty in dealing with carefully selected small central tympanic membrane perforations. Despite its numerous advantages and relative ease of the procedure, many a times it has been underused. MATERIALS AND METHODSThe study was conducted in the Department of Otolaryngology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala over a period of 2 years on 44 ears. An endoscope-assisted fat patch grafting technique was used in our study. RESULTSThe Male-to-Female ratio was 2.1: 1; 39 cases had complete closure of the perforation. So, the overall success rate of the study was around 89%. CONCLUSIONFat graft myringoplasty is a simple, cost effective day care surgical procedure done under local anaesthesia. It is an under-utilised procedure by otologists for the treatment of tympanic membrane perforations. Through our study, we would like to emphasise the importance of this procedure done endoscopically for carefully selected cases, which has a very good success rate.

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“…In recent years, some autologists believe that cartilage is a reliable graft material resistant to reperforations, which can be easily placed under malleus because of its stable nature. Clinical and experimental studies cited in the literature have revealed that cartilage is very well tolerated with better auditory outcomes and minimal resorption [14].…”

Section: Discussionmentioning

confidence: 99%

Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted?

Dündar

Kulduk

Soy

et al. 2015

Indian J Otolaryngol Head Neck Surg

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The aim of this study was to compare anatomical and audiological results of boomerang-shaped chondroperichondrial graft (BSCPG) with temporal muscle fascia in type 1 tympanoplasties. Sixty-eight patients in BSCPG group and 54 patients in fascia group were evaluated. Otomicroscopic examination was done periodically till 24 months as for graft perforation, lateralization and retraction and mean air conduction threshold and airbone gap values were measured. At long term controls, in BSCPG group, rates of neomembrane, perforation, retraction and lateralization were 91.17 % (n = 62), 8.82 % (n = 6), 4.41 % (n = 3) and 0 % (n = 0), respectively. In fascia group, the corresponding rates were 79.62 % (n = 43), 20.37 % (n = 11), 12.96 % (n = 7) and 3.7 % (n = 2), respectively. In both groups, mean postoperative PTA and ABG values were significantly better while postoperative same values were significantly different between groups (p = 0.044 and 0.032, respectively). Compared to fascia, BSCPG is an ideal grafting technique in the repair of tympanic membrane perforations.

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Myringoplasty in children

Cited by 67 publications

References 5 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

Endoscopic Fat Grafting of Small and Residual Tympanic Membrane Perforations- A Clinical Study

Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted?

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