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.
Abstract