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Paediatric tympanoplasty: comparative study between patients aged 5-8 years and those aged over 14 years
1Department of Otorhinolaryngology - Head and Neck Surgery,Lady Hardinge Medical College and Associated Hospitals,New Delhi,India.
Insights
Tympanoplasty type I shows comparable surgical and audiological success rates in children aged 5-8 years and older patients. This effective treatment for chronic suppurative otitis media benefits younger pediatric patients.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Outcomes
Background:
- Chronic suppurative otitis media (CSOM) is a common condition requiring surgical intervention.
- Tympanoplasty type I is a standard surgical procedure to repair the tympanic membrane.
- Evaluating outcomes in pediatric populations is crucial for optimizing treatment strategies.
Purpose of the Study:
- To compare the success rates of tympanoplasty type I in pediatric patients (5-8 years) versus older individuals (>14 years).
- To analyze surgical and audiological outcomes in different age groups undergoing tympanoplasty type I.
- To determine the influence of eustachian tube function on tympanoplasty outcomes.
Main Methods:
- A prospective study involving 60 patients with inactive mucosal chronic suppurative otitis media.
- Patients were divided into two groups: 30 pediatric patients (5-8 years) and 30 older individuals (>14 years).
- All participants underwent tympanoplasty type I using an underlay technique with a temporalis fascia graft.
Main Results:
- High surgical success rates were observed: 87% in the pediatric group and 90% in the older group.
- Audiological success rates were 69% in the pediatric group and 78% in the older group.
- Eustachian tube function was found to have no significant impact on the surgical outcomes.
Conclusions:
- Tympanoplasty type I yields comparable surgical and audiological results in pediatric patients (5-8 years) and older individuals.
- The findings support the efficacy of tympanoplasty type I in younger children with chronic suppurative otitis media.
- Age is not a limiting factor for successful tympanoplasty type I outcomes.
Objective:
To evaluate and analyse the success rate of tympanoplasty type I in paediatric patients aged 5 to 8 years compared to a control group (patients aged over 14 years).
Methods:
In this prospective study, 60 patients (of either sex) with chronic suppurative otitis media inactive mucosal disease were divided into 2 groups (30 in each): group A comprised paediatric patients aged 5-8 years and group B consisted of older individuals aged over 14 years. All patients underwent tympanoplasty type I with an underlay technique using a temporalis fascia graft.
Results:
Impressive surgical success rates of 87 and 90 per cent were recorded in groups A and B, respectively. Furthermore, audiological success rates of 69 and 78 per cent were achieved in groups A and B respectively. Statistical analysis of the data revealed that eustachian tube function had no impact on the outcome of tympanoplasty.
Conclusion:
Tympanoplasty type I performed in children aged five to eight years gives comparable results to those of older individuals.
