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Incidence and progression of myringo-incudo-pexy after secretory otitis

M Tos1, S E Stangerup, P Larsen

  • 1ENT Department, Gentofte Hospital, University of Copenhagen, Denmark.

Acta Oto-Laryngologica
|January 1, 1992
PubMed

Insights

This study tracked 327 children from age 5 to 16, investigating drum pathology like myringo-incudo-pexy. While hearing remained good, this condition poses a risk for future hearing progression.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Middle Ear Disease

Background:

  • Middle ear pathologies in children can impact hearing development.
  • Longitudinal data on the prevalence and natural history of specific drum pathologies is limited.

Purpose of the Study:

  • To investigate the prevalence and progression of myringo-incudo-pexy in a cohort of healthy children.
  • To assess the long-term effects of myringo-incudo-pexy on hearing.

Main Methods:

  • A cohort of 327 children born in 1975 was followed from age 5 to 16 years.
  • Repeated otomicroscopies and tympanometries (9 per child) were performed during the follow-up period.

Main Results:

  • Prevalence of myringo-incudo-pexy increased from 0.5% at age 5 to 4.2% at age 16.
  • Of identified pexies, 40% were stable, 36% fluctuated, and 26% resolved.
  • Hearing outcomes at age 16 were surprisingly good despite the presence of myringo-incudo-pexy.

Conclusions:

  • Myringo-incudo-pexy shows increasing prevalence and variable natural history in children.
  • While hearing may be preserved in childhood, myringo-incudo-pexy represents a potential risk factor for future hearing deterioration.

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