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Updated: Jul 1, 2025
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Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
Published on: December 15, 2023
681
Tympanic Perforations in Children: When to Propose Surgical Closure?
Marine Del Puppo1, Anne Farinetti, Stéphane Roman
1Department of Pediatric Otolaryngology Head and Neck Surgery, La Timone Children's Hospital, AP-HM, Aix Marseille Université, Marseille, France.
Summary
Myringoplasty in children shows high success rates for tympanic closure and improved hearing. Age is not a barrier to successful myringoplasty in pediatric patients.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Outcomes
Background:
- Tympanic membrane perforations are common in children.
- Myringoplasty is a surgical procedure to repair these perforations.
- Understanding prognostic factors is crucial for optimizing surgical success.
Purpose of the Study:
- To evaluate the success rates of myringoplasty in children.
- To analyze the impact of patient age on myringoplasty outcomes.
- To identify other prognostic factors influencing surgical results.
Main Methods:
- Retrospective case series of 241 children (318 ears) aged 3-17 years.
- Myringoplasty performed between 2009 and 2019.
- Data collected on tympanic closure, recurrence, reoperation, and audiometric gain.
Main Results:
- High tympanic closure rate (87.7%) and significant audiometric improvement (mean ABG decrease from 21 dB to 12 dB).
- No significant difference in outcomes based on age groups.
- Audiometric results correlated with perforation location, middle ear inflammation, and surgical technique.
Conclusions:
- Myringoplasty in children yields excellent anatomical and functional results across all age groups.
- Patient selection is key for successful myringoplasty in pediatric populations.
- The procedure is recommended for well-selected children regardless of age.
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