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Myringoplasty in children
M Nagai1, T Nagai, T Morimitsu
1Department of Otolaryngology, Miyazaki Medical College, Japan.
Insights
Myringoplasty shows a higher success rate in older children (13-14 years). This surgery is recommended for children 13+ or 7-12 years with large mastoid pneumatization.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Myringoplasty is a surgical procedure to repair a perforated tympanic membrane.
- Outcomes in pediatric patients can vary based on age and anatomical factors.
Purpose of the Study:
- To evaluate the efficacy of myringoplasty in children aged 3 to 14 years.
- To identify factors influencing graft success and determine optimal surgical candidacy.
Main Methods:
- Retrospective study of 87 children undergoing myringoplasty over 11 years.
- Follow-up period of 3 years to assess graft take and long-term outcomes.
- Analysis of age, mastoid pneumatization, and perforation size as potential influencing factors.
Main Results:
- Overall success rate of 57.7% in children aged 3-12 years.
- 100% graft-take rate in patients aged 13-14 years.
- Conservative treatment resulted in spontaneous closure in 20 of 38 cases; smaller mastoid pneumatization in 7-10 year olds correlated with lower graft take.
Conclusions:
- Myringoplasty is a viable option for children aged 13 years and older.
- Children aged 7-12 years with large mastoid pneumatization may also benefit from myringoplasty.
- Age and mastoid pneumatization are key factors in predicting myringoplasty success in pediatric patients.
Abstract:
Our 11 years of experience of myringoplasty in 87 children aged 3 to 14 years were retrospectively studied. The children were followed up over a period of 3 years. Children in the 3-to-12-year-old age group had a success rate of 57.7%. Graft-take rate was 100% in children operated on at the age of 13 and 14 years. Revision surgery was needed in 33 ears, and ultimate success was achieved in 88.9%. Within the same period, 38 ears were conservatively treated and 20 perforations of them were spontaneously closed. The state of the opposite ear and the perforation size were not a decisive factor in the results of myringoplasty. Children between 7 and 10 years old with small mastoid pneumatization had a statistically lower graft-take rate. We concluded that myringoplasty is warranted for children 13 years of age and older or children aged 7 to 12 years with large mastoid pneumatization.