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Plug cartilage tympanoplasty in children
José Arruda Mendes Neto1, Felipe Costa Neiva2, Fábio Brodskyn1
1MD. Otorhinolaryngology resident - UNIFESP-EPM.
Insights
The tragus cartilage plug inlay technique shows promising results for treating pediatric tympanic membrane perforations. This method offers a high success rate and minimal complications for children with chronic otitis media.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Tympanic membrane perforations in children with chronic otitis media pose a significant clinical challenge.
- Effective treatment strategies are crucial for preventing long-term hearing impairment.
Purpose of the Study:
- To evaluate the clinical outcomes and audiometric improvements using the tragus cartilage plug inlay technique for pediatric tympanic membrane perforations.
Main Methods:
- A retrospective clinical study was conducted on 23 pediatric patients (ages 1-15 years).
- Patients underwent plug tympanoplasty using tragus cartilage grafts.
Main Results:
- The repair success rate for tympanic membrane perforations was 82.6%.
- Significant improvement in audiometric parameters was observed in 87.5% of the patients.
- Complications associated with the procedure were minimal.
Conclusions:
- The tragus cartilage plug inlay tympanoplasty is a viable and effective treatment option for pediatric tympanic membrane perforations.
- This technique demonstrates a favorable safety profile and good functional outcomes in children.
Unlabelled:
The treatment of tympanic membrane perforations in the pediatric population with sequelae of chronic otitis media represents a challenge to otolaryngologists.
Aim:
To assess the clinical and audiometric results of the inlay technique with a tragus cartilage plug.
Materials And Methods:
We assessed 23 patients (ages between 1 and 15 years) who underwent plug tympanoplasty.
Study Design:
clinical retrospective.
Results:
Repair success rate was of 82.6%, with audiometric parameters improvement in 87.5% of the patients. Complications were minimum.
Conclusion:
Considering the results attained, this method of tympanoplasty should be considered a good treatment option for tympanic membrane perforation in children.

