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Published on: February 29, 2020
Myringoplasty in children: retrospective analysis of 60 cases
Harkani Abdellatif1, Rouchdi Youssef1, Maliki Omar1
1ENT Department, Mohammed VI University Hospital, Marrakech, Morocco.
Insights
Myringoplasty in children using the retro-auricular approach showed an 80% success rate in closing tympanic perforations. However, only 45% experienced functional hearing improvement, suggesting potentially poorer outcomes compared to adults.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Outcomes
Background:
- Myringoplasty (Type 1 tympanoplasty) is a common otologic surgery.
- It aims to restore the tympanic membrane's anatomic integrity.
- Evaluating pediatric outcomes is crucial for surgical practice.
Purpose of the Study:
- To assess the anatomic and functional results of myringoplasty in children.
- To evaluate the efficacy of the retro-auricular approach for pediatric tympanic perforations.
Main Methods:
- Retrospective evaluation of 60 pediatric patients undergoing myringoplasty.
- Utilized the retro-auricular approach with the underlay technique.
- Cartilage grafts were used for all patients.
Main Results:
- Anatomic closure of tympanic perforation achieved in 80% of cases (48/60).
- Functional improvement in hearing was observed in 45% of patients (27/60).
- No significant change in hearing noted in the remaining patients.
Conclusions:
- Myringoplasty via retro-auricular approach demonstrates good anatomic success in children.
- Functional outcomes in pediatric myringoplasty may be less favorable than in adults.
- Further extensive research with long-term follow-up is needed for definitive conclusions.
Abstract:
Myringoplasty or type 1 tympanoplasty aims the restoration of the anatomic integrity of the tympanic membrane; it's a very common surgery in otology. The objective was to evaluate the anatomic and functional results of this surgery in children using the retro-auricular approach. Sixty young patients with diagnosis of simple tympanic perforation were evaluated; these patients underwent myringoplasty by a retro-auricular approach (underlay technique) between November 2010 and May 2013. It's a retrospective evaluation of the anatomic and functional results of theses myringoplasties. Mean age at surgery was 8, 5 years old, cartilage was used as graft in our entire patient, closure of perforation was successful in 48 cases (80%), and audiometric results showed functional improvement in 27 (45%) patients, no significant change was noted in the remaining patients. The results of myringoplasty in children seem worse than those in adults. However, a large study with a long follow up is warranted in order to come to definitive conclusions.
