Tympanoplasty in children A review of 114 cases

Raine, Christopher; Singh, S. D.

doi:10.1017/s0022215100094032

Cited by 88 publications

(61 citation statements)

References 9 publications

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“…It is therefore crucial to define the criteria of success in pediatric tympanoplasty, preferably internationally, to enable us to compare the results in a more meaningful way. The present study was conducted on patients aged 9-14 years and the result of successful graft uptake was 86% which is comparable to the results of various authors (5,9,15,16). The reason for variation in results of these authors could be attributed to the wide range of age that differs in various studies, because of technique used, varying length of follow up and experience of surgeons.…”

Section: Discussionsupporting

confidence: 90%

Surgical Outcome in Paediatric Tympanoplasty: Our Experience

Srivastava¹,

Mohan²

2014

IOSRJDMS

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Section: Discussionsupporting

confidence: 90%

Surgical Outcome in Paediatric Tympanoplasty: Our Experience

Srivastava¹,

Mohan²

2014

IOSRJDMS

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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%

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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“…The development of headache, vertigo or facial palsy is an evidence of complications. In a prospective audit study of 1070 myringoplasties, done by Kotecha B et al(1999) 6 , 69.6% of perforations were due to infective causes, 3.2% were traumatic, 10.4% were iatrogenic and 16.8% were unknown or not recorded. All the 30 (100%) patients in our study presented with ear discharge either active or inactive and some degree of hearing impairment.…”

Section: Post-operativementioning

confidence: 99%

“…In a prospective audit study of 1070 myringoplasties by Kotecha Bet al (1999] 6 , size of the tympanic membrane perforations was classified as those less than 50% and those more than 50% of the tympanic membrane. In the same study, it was noted that graft uptake is better for perforations involving less than 50 % of the tympanic membrane.…”

Section: Post-operativementioning

confidence: 99%

Bacteriological Profile of Sinusitis in a Tertiary Setup

Rony¹,

George²,

Markose³

2014

jemds

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Tympanic membrane perforation may be traumatic in origin or due to CSOM which may not heal spontaneously. Over the years various modalities of treatment have evolved for the treatment of this. Primary aim of the treatment is to control and eliminate the foci of infection. The closure of tympanic membrane perforation with different graft materials restores the vibratory area of the membrane, gives round window protection, reduces susceptibility of the middle ear mucosa to infection and improves hearing. Two basic techniques have come up in which the graft is placed either over the drum remnant or under the drum remnant and the techniques are called overlay and underlay respectively. The present study is an attempt to compare the results of both techniques in a tertiary care hospital. Tympanic membrane perforation may be traumatic in origin or due to CSOM which may not heal spontaneously. Over the years various modalities of treatment have evolved for the treatment of this. Primary aim of the treatment is to control and eliminate the foci of infection. The closure of tympanic membrane perforation with different graft materials restores the vibratory area of the membrane, gives round window protection, reduces susceptibility of the middle ear mucosa to infection and improves hearing. Two basic techniques have come up in which the graft is placed either over the drum remnant or under the drum remnant and the techniques are called overlay and underlay respectively. The present study is an attempt to compare the results of both techniques in a tertiary care hospital. KEYWORDS: Underlay technique, Overlay technique, Myringoplasty. MATERIALS AND METHOD:The present study to compare the overlay and underlay -techniques of myringoplasty was carried out in the Department of Otorhinolaryngology, MOSC Medical College Kolenchery during April 2011and March2012. All patients withtubotympanic type of C.S.O.M who fulfill the inclusion criteria and are willing for the surgery are included in the study.30 patients with dry central perforation, hearing loss of 10 to 45 dB and good cochlear reserve were included in the study. They are divided into 2 groups by random selection; one undergoing overlay technique and the other underlay technique of myringoplasty. Those withpars flaccida perforation, marginal perforation, wet ears and poor cochlear reserve were excluded. The pars tensa perforation was classified according to the number of quadrants it occupied. Small perforations were those limited to one quadrant and moderate perforations involved two quadrants, including kidney shaped perforations. Large perforations were those occupying 3 quadrants and subtotalperforations were those occupying 4 quadrants bounded by the annulus. Routine haemogram, hearing evaluation by tuning fork tests and Pure tone audiometry as per the method outlined by American Speech and Hearing Association was done all the patients. X-ray mastoids Schuller's view (right and left) was done and the radiological features were noted. Mastoids were labeled a...

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Tympanoplasty in children A review of 114 cases

Cited by 88 publications

References 9 publications

Surgical Outcome in Paediatric Tympanoplasty: Our Experience

Surgical Outcome in Paediatric Tympanoplasty: Our Experience

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

Bacteriological Profile of Sinusitis in a Tertiary Setup

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