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Type 1 tympanoplasty in pediatric patients: a review of 102 cases

Deniz Baklaci1, Ismail Guler2, Ihsan Kuzucu2

  • 1Numune Training and Research Hospital, Department of Otolaryngology, 931st Avenue 945st Street No:5/3 Çankaya, Ankara, Turkey. doktorent@gmail.com.

BMC Pediatrics
|November 8, 2018
PubMed

Insights

Type 1 tympanoplasty is effective in children with chronic otitis media. Cartilage grafts are recommended for bilateral perforations to improve graft success and reduce reperforation risk.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Tympanoplasty Research

Background:

  • Chronic otitis media (COM) in children often involves tympanic membrane perforation.
  • Type 1 tympanoplasty aims to repair the perforation and restore hearing.
  • Evaluating success factors in pediatric tympanoplasty is crucial for optimizing outcomes.

Purpose of the Study:

  • To assess the success rates of type 1 tympanoplasty in pediatric patients with COM.
  • To identify prognostic factors influencing the success of tympanoplasty in this population.

Main Methods:

  • Retrospective review of 102 pediatric patients (8-18 years) undergoing type 1 tympanoplasty.
  • Data collected included patient demographics, perforation characteristics, graft material, surgical approach, and hearing levels.
  • Success defined by anatomical and functional outcomes (air-bone gap < 20 dBHL).

Main Results:

  • Overall anatomical success was 86.3% and functional success was 74.5% after a mean follow-up of 32 months.
  • Tragal cartilage grafts showed significantly higher success rates (95.1%) compared to temporalis fascia grafts (80.3%).
  • Contralateral perforations negatively impacted graft success (p=0.003); bilateral perforations were associated with graft failure.

Conclusions:

  • Type 1 tympanoplasty is effective in pediatric patients, irrespective of age, perforation type/location, or surgical approach.
  • Cartilage grafts are recommended for bilateral perforations due to higher success rates and lower risk of reperforation.
  • Contralateral ear conditions are a significant factor affecting graft outcomes.
Abstract

Keywords:
ChildrenGraft successHearingPrognostic factorsType 1 tympanoplasty

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