Issue N# 4 - 2018
OTOLOGY
Type 1 tympanoplasties in children
Authors : Mouzali A, Zemirli O. (Alger)
Ref. : Rev Laryngol Otol Rhinol. 2018;139,4:79-83.
Article published in french 
Downloadable PDF document french
Summary :
Objectives: To determine the impact of age on type 1 tympanoplasty postoperative outcome. To identify among these factors, those that could influence postoperative outcomes: Size and site of the perforation, status of the contralateral ear, previous adenoidectomy, and status of the middle ear mucosa. Material and method: Retrospective study on 67 type 1 tympanoplasties performed for tympanic membrane perforation in chronic otitis media, in children aged from 6 to 16 years. We divided our population into two groups: 6-10 years old (n= 31), 10-16 years old (n= 36). Anatomical and functional outcomes were evaluated and compared among these two groups at 12 months follow-up. Postoperative intact tympanic membrane without retraction and effusion, and air bone gap less than 20 dB after period were defined as success criteria. Results: Mean age at surgery was 11years ± 2,7. The overall graft take rate was 80.6%, functional success were attained in 77.6% of patients at 12 months follow up. No statistical correlation was found between younger and older groups: Anatomical success (77,4% vs 83,3%). Functional success (75% vs 78%) though most of reperforations (70%) occurred in children younger than 10 years. We found a statistically significant correlation between young age and active otitic process, size of the perforation and functional results, and contralateral ear and anatomical and functional results. Conclusion: The findings in this study suggest that myringoplasty is a beneficial procedure even in young children. However the evolution of the otitic process is an important factor to consider while timing the surgery.
Price : 12.00 €
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