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Myringoplasty in children: retrospective analysis of 35 cases
Nemer Al-Khtoum1, Mohammad Ali Hiari
1Department of Otolaryngology, King Hussein Medical Center, Amman, Jordan. nemer72@gmail.com
Insights
Myringoplasty is a beneficial procedure for children, with 85.7% of cases successfully closing perforations and 77% showing audiological improvement. This surgery can effectively restore hearing in the pediatric population.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Middle ear infections are common in children.
- Tympanic membrane perforations can lead to hearing loss.
- Myringoplasty aims to repair these perforations and improve hearing.
Purpose of the Study:
- To evaluate the outcomes of myringoplasty in pediatric patients.
- To assess factors influencing success rates.
- To analyze hearing improvement post-surgery.
Main Methods:
- Retrospective analysis of 35 children (ages 9-14).
- Procedures performed between April 2002 and May 2004.
- Data collected on perforation closure and audiological results.
Main Results:
- Successful perforation closure in 85.7% of patients.
- Audiological improvement observed in 77% of cases.
- No cases of profound hearing loss reported.
Conclusions:
- Myringoplasty is effective in the pediatric population.
- Skilled surgeons can achieve good hearing restoration.
- Further long-term studies are recommended.
Aims:
to carry out a retrospective analysis of myringoplasty results in children in our institute.
Materials And Methods:
Thirty five children, 9 to 14 years old, who underwent myringoplasty in our hospital between April 2002 and May 2004, formed the study group. Data regarding successful perforation closure, factors influencing success rates and hearing improvement were recorded.
Results:
Closure of perforation was successful in 30 (85.7%) of the 35 patients. Graft take failure occurred in 5 patients. Audiological improvement was seen in 27 (77%) patients, out of which 23 cases had 10-15 db and 4 cases had 15-20 db air-bone gap. Hearing was found to be worse postoperatively in 3 patients, while no change was noted in the remaining 5 patients. There was no case of profound hearing loss.
Conclusion:
Myringoplasty is a beneficial procedure in the pediatric population in the hands of a skilled and experienced surgeons. If performed properly, it has a good chance of restoring a child's hearing. However, a large study with a long follow up is warranted in order to come to a definitive conclusion.
