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Pediatric tympanoplasty: A paradigm shift?

Joana A S Marques¹, Mafalda Sousa¹, Laurentino Mendes Leal¹

¹Department of Otorhinolaryngology - Centro Hospitalar Universitário São João, EPE, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal; Unit of Otorhinolaryngology - Department of Surgery and Physiology - Faculty of Medicine, University of Porto, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal.

Acta Otorrinolaringologica Espanola

|January 17, 2021

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This summary is machine-generated.

Pediatric tympanoplasty effectively repairs chronic tympanic perforations in children. Factors like age and surgical approach did not impact graft success in this study.

Area of Science:

Otolaryngology
Pediatric Surgery

Background:

Tympanoplasty in children remains controversial regarding optimal techniques and timing.
Several factors, including age and Eustachian tube function, may influence surgical outcomes.

Purpose of the Study:

To evaluate the outcomes of pediatric tympanoplasty.
To identify factors influencing the success of tympanoplasty in children.

Main Methods:

Retrospective review of 83 children (5-15 years) undergoing tympanoplasty for chronic tympanic perforation.
Exclusion of cases with cholesteatoma or simultaneous mastoidectomy.
Comparison of outcomes between two age groups (5-10 and >10-15 years).

Main Results:

Successful tympanic membrane closure achieved in 76.9% of primary and 55.6% of revision surgeries.

Keywords:

Child Niño Otitis media Perforación de la membrana timpánica Suppurative Supurativo Timpanoplastia Tympanic membrane perforation Tympanoplasty

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No significant difference in graft failure based on age, craniofacial dysmorphism, or surgical approach.

Anterior perforations showed a higher risk for revision surgery.

Conclusions:

Pediatric tympanoplasty is an effective procedure for chronic tympanic perforations.
Age and surgical approach were not found to be predictors of graft failure in this cohort.