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Paediatric tympanoplasty: comparative study between patients aged 5–8 years and those aged over 14 years

Published online by Cambridge University Press:  10 June 2016

G B Singh ,
R Arora ,
S Garg ,
S Kumar  and
D Kumar
G B Singh*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
R Arora
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Garg
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Baba Saheb Ambedkar Medical College and Hospital, New Delhi, India
S Kumar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
D Kumar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Employees' State Insurance Hospital, New Delhi, India
*
Address for correspondence: Dr Gautam Bir Singh, House no. 1433, Sector 15, Faridabad-121007 (National Capital Region), Haryana, India E-mail: [email protected]
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Abstract

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.

Keywords

TympanoplastyPediatricsOtitis Media
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 7 , July 2016 , pp. 635 - 639
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1Umapathy, N, Dekker, PJ. Myringoplasty: is it worth performing in children? Arch Otolaryngol Head Neck Surg 2003;129:1053–5CrossRefGoogle ScholarPubMed
2Singh, GB, Sidhu, TS, Sharma, A, Singh, N. Tympanoplasty type I in children--an evaluative study. Int J Pediatr Otorhinolaryngol 2005;69:1071–6CrossRefGoogle ScholarPubMed
3Knapik, M, Saliba, I. Pediatric myringoplasty: a study of factors affecting outcome. Int J Pediatr Otorhinolaryngol 2011;75:818–23Google Scholar
4Vrabec, JT, Deskin, RW, Grady, JJ. Meta-analysis of pediatric tympanoplasty. Arch Otolaryngol Head Neck Surg 1999;125:530–4Google Scholar
5Sarkar, S, Roychoudhury, A, Roychoudhury, BK. Tympanoplasty in children. Eur Arch Otorhinolaryngol 2009;266:627–33Google Scholar
6Riberio, JC, Rui, C, Netercia, S, Jose, R, Antonio, P. Tympanoplasty in children: a review of 91 cases. Auris Nasus Larynx 2011;38:21–5Google Scholar
7Boronat-Echeverría, NE, Reyes-García, E, Sevilla-Delgado, Y, Aguirre-Mariscal, H, Mejía-Aranguré, JM. Prognostic factors of successful tympanoplasty in paediatric patients: a cohort study. BMC Pediatr 2012;12:67Google Scholar
8MacDonald, RR, Lusk, RP, Muntz, HR. Fasciaform myringoplasty in children. Arch Otolaryngol Head Neck Surg 1994;120:138–43Google Scholar
9Emir, H, Ceylan, K, Kizilkaya, Z, Gocmen, H, Uzunkulaoglu, H, Samim, E. Success is a matter of experience: type 1 tympanoplasty: influencing factors on type 1 tympanoplasty. Eur Arch Otorhinolaryngol 2007;264:595–9CrossRefGoogle ScholarPubMed
10American Academy of Otolaryngology-Head and Neck Surgery Foundation. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995;113:186–7Google Scholar
11Collins, WO, Telischi, FF, Balkany, TJ, Buchman, CA. Paediatric tympanoplasty: effect of contralateral ear status on outcomes. Arch Otolaryngol Head Neck Surg 2003;129:646–51Google Scholar
12Merenda, D, Koike, K, Shafiei, M, Ramadan, H. Tympanometric volume: a predictor of success of tympanoplasty in children. Otolaryngol Head Neck Surg 2007;136:189–92Google Scholar
13Megerian, CA. Pediatric tympanoplasty and the role of preoperative eustachian tube evaluation. Arch Otolaryngol Head Neck Surg 2000;126:1039–41Google Scholar
14Bluestone, CD, Cantekin, EL, Douglas, GS. Eustachian tube function related to the results of tympanoplasty in children. Laryngoscope 1979;89:450–8CrossRefGoogle Scholar
15Tos, M, Lau, T. Stability of tympanoplasty in children. Otolaryngol Clin North Am 1989;22:15–28Google Scholar
16Strong, MS. The eustachian tube: basic considerations. Otolaryngol Clin North Am 1972;5:19–27CrossRefGoogle ScholarPubMed
17Kessler, A, Potsic, WP, Marsh, RR. Type 1 tympanoplasty in children. Arch Otolaryngol Head Neck Surg 1994;120:487–90Google Scholar
18Koch, WM, Friedman, EM, McGill, TJ, Healy, GB. Tympanoplasty in children. The Boston Children's Hospital experience. Arch Otolaryngol Head Neck Surg 1990;116:35–40Google Scholar
19Pignataro, L, Grillo, Della Berta L, Cappacio, P, Zaghis, A. Myringoplasty in children: anatomical and functional results. J Laryngol Otol 2001;115:369–73Google Scholar
20Todd, NW. There are no accurate tests for eustachian tube function. Arch Otolaryngol Head Neck Surg 2000;126:1041–2Google Scholar
21François, M, Juvanon, JM, Contencin, P, Bobin, S, Manac'h, Y, Narcy, P. Myringoplasty in children [in French]. Ann Otolaryngol Chir Cervicofac 1985;102:321–7Google Scholar
22Lau, T, Tos, M. Tympanoplasties in children: an analysis of late results. Am J Otol 1986;7:55–9Google Scholar
23Ophir, D, Porat, M, Marshak, G. Myringoplasty in the pediatric population. Arch Otolaryngol Head Neck Surg 1987;113:1288–90Google Scholar
24Gersdorff, M, Garin, P, Decat, M, Juantegui, M. Myringoplasty: long-term results in adults and children. Am J Otol 1995;16:532–5Google ScholarPubMed
25Albera, R, Ferrero, V, Lacilla, M, Canale, A. Tympanic reperforation in myringoplasty: evaluation of prognostic factors. Ann Otol Rhinol Laryngol 2006;115:875–9Google Scholar
26Yung, M, Neumann, C, Vowler, S. A longitudinal study on pediatric myringoplasty. Otol Neurotol 2007;28:353–5Google Scholar
27Black, JH, Hickey, SA, Wormald, PJ. An analysis of the results of myringoplasty in children. Int J Pediatr Otorhinolaryngol 1995;31:95–100Google Scholar
28Shih, L, de Tar, T, Crabtree, JA. Myringoplasty in children. Otolaryngol Head Neck Surg 1991;105:74–7Google Scholar
29Friedberg, J, Gillis, T. Tympanoplasty in childhood. J Otolaryngol 1980;9:165–8Google Scholar
30Raine, CH, Singh, SD. Tympanoplasty in children. A review of 114 cases. J Laryngol Otol 1983;9:217–21Google Scholar
31Uyar, Y, Keleş, B, Koç, S, Oztürk, K, Arbağ, H. Tympanoplasty in pediatric patients. Int J Pediatr Otorhinolaryngol 2006;70:1805–9Google Scholar
32Vartiainen, E. Results of surgical treatment for chronic noncholesteatomatous otitis media in the paediatric population. Int J Pediatr Otorhinolaryngol 1992;24:209–16CrossRefGoogle Scholar
33Sade, J, Ar, A. The eustachian tube. In: Ludman, H, Wright, T, eds. Diseases of the Ear. London: Hodder Arnold, 1997;337Google Scholar
34Manning, SC, Cantekin, EI, Kenna, MA, Bluestone, CD. Prognostic value of eustachian tube function in pediatric tympanoplasty. Laryngoscope 1987;97:1012–16Google Scholar
35Browning, GG, Merchant, SN, Kelly, G, Swan, IR, Canter, R, McKerrow, WS. Chronic otitis media. In: Gleeson, M, ed. Scott Brown's Otorhinolaryngology, Head and Neck Surgery (volume 3), 7th edn.London: Hodder Arnold, 2007;3435–6Google Scholar