Surgical Outcome in Paediatric Tympanoplasty: Our Experience

Srivastava, Abhinav; Mohan, C. Raja

doi:10.9790/0853-13214851

Cited by 1 publication

(2 citation statements)

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“…In the current study, the rate of graft success and audiological success was higher (94.1%) with the duration of ear discharge d" 4 years than > 4 years.But the success rate were not statistically significant .This result was similar with study done by El-Magd et al 14 and Srivastava and Mohon 13 This may be due to a long duration of middle ear pathology and mucosal changes that affect the outcome of an operation.…”

Section: Discussionsupporting

confidence: 83%

“…Gupta and Mishra noted that cochlear reserve is good in paediatric patient and potential for restoring and preserving hearing is excellent in paediatric tympanoplasty 12 . Several studies have been done about type 1 tympanoplasty in children.In India, found better results in children older than 11 years of age is reported by Srivastava and Mohan 13 . While, El-Magd and Sobhy In Egypt found better results in children between 7 to 10 years of age than 11 to 14 years 14 .Sirena et al reported that factors such as age, presence of unilateral or bilateral pathology and size of perforation were not determinants of surgical success 15 .…”

Section: Introductionmentioning

confidence: 70%

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Outcome of Type 1 Tympanoplasty in Paediatric Patients

Rahaman

Akhtar

Biswas

et al. 2022

Bangladesh J of Otorhinolaryngology

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Background: Type 1 Tympanoplasty is a widely performed procedure for inactive mucosal COM. Considerable controversy remains in choice of type-1 tympanoplasty in the paediatric patients. Objectives: To assess the outcomes of type-1 tympanoplasty in paediatric patients. Methods: This study was conducted in the Department of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, from July 2018 to December 2019, with 44 paediatric patients having an inactive mucosal variety of chronic otitis media. Patients were divided into 10-14 and 15-18 years age group. All patients underwent type-1 tympanoplasty under operating microscope and temporalis fascia used as a graft material. Minimum hearing improvement of 10 dB was regarded as an audiological success and an intact graft at the end of the third month was regarded as graft success. The statistical significance was set to p< 0.05. Results: The graft success rate was 90.9% and audiological improvement was 81.8% in paediatric tympanoplasty. Success rate was higher in 15-18 years age group than 10-14 years of age group which was statistically insignificant. Irrespective of the site, size, duration of discharge showed an insignificant association with outcomes of pediatric type-1 tympanoplasty. Conclusion: Type-1 tympanoplasty showed promising result in paediatric patients. The age of the patients did not significantly affect the postoperative outcome. Bangladesh J Otorhinolaryngol 2022; 28(1): 43-49

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 70%