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Published on: January 19, 2022
[Clinical practice guidelines: surgical treatment of tympanic membrane perforations in children]
Françoise Denoyelle1, Vincent Darrouzet,
1ORL, Paris.
Insights
This review provides evidence-based recommendations for simple myringoplasty in children. It guides pediatric otolaryngologists on optimal techniques and indications for tympanic membrane perforation repair.
Area of Science:
- Otolaryngology
- Pediatric Otology
- Surgical Procedures
Context:
- Simple myringoplasty is a common procedure in pediatric otology.
- There is a need for standardized guidelines for its application in children.
- Existing literature lacks sufficient high-level evidence for practice.
Purpose:
- To review the world literature on the indications, techniques, and results of simple myringoplasty in children.
- To assess the level of evidence and expert opinions in published articles.
- To establish evidence-based recommendations for good practice in pediatric myringoplasty.
Summary:
- A French study group reviewed literature and expert opinions on simple myringoplasty in children under 15.
- Recommendations were developed for managing non-infected tympanic membrane perforations without ossicular chain involvement.
- The guidelines target otolaryngologists, pediatricians, general practitioners, and anesthesiologists.
Impact:
- Aims to improve the quality of care for children undergoing myringoplasty.
- Provides a practical guide for clinicians involved in pediatric ear surgery.
- Contributes to the standardization of surgical practices in pediatric otolaryngology.
Abstract:
A study group emanating from the French Society of Otolaryngologists and Associated Paediatric Otologists, anaesthetists and bacteriologists carried out a review of the world literature regarding the indications, technique and results of simple myringoplasty in children. The group assessed the levels of evidence present in published articles and the opinions of experts in the field, due to the lack of sufficient evidence. The study group then established recommendations for good practice. These were sent to otolaryngologists, paediatricians, general practitioners and anaesthetists involved in the care of children under the age of 15 presenting with a simple non-infected tympanic membrane perforation and without affection of the ossicular chain. The full text of the recommendations is provided.
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