Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-17T14:57:12.327Z Has data issue: false hasContentIssue false
  • English
  • Français

Influence of coexisting myringosclerosis on myringoplasty outcomes in children

Published online by Cambridge University Press:  20 May 2009

L Migirov  and
A Volkov
L Migirov*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel
A Volkov
Affiliation:
Department of Pathology, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel
*
Address for correspondence: Dr Lela Migirov, Dept of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, 5262l, Israel. Fax: 972 3 530 5387 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To obtain information on the success rate of tympanoplasty with concomitant myringosclerosis.

Methods:

The medical records of 40 children with myringosclerosis (23 girls, 17 boys; age range six to 16 years, mean age 9.85 years) who had undergone primary tympanoplasty were retrospectively studied. Surgical success was defined as the perforation remaining closed 12 months post-operatively.

Results:

Sclerotic plaques occupied whole remnant eardrums in 17 patients, and were located in various parts of the eardrum in 23. Tympanosclerosis associated with myringosclerosis was present in six patients. The success rate of primary tympanoplasty was 92.5 per cent. All three surgical failures were observed in girls with marginal perforations. These children underwent successful revision procedures for their residual perforations, variously at four, eight and 10 months after the initial surgery.

Conclusion:

Appropriate freshening of the perforation edges, with removal of sclerotic plaques, can result in a high rate of successful closure of perforated tympanic membrane with coexisting myringosclerosis.

Keywords

Tympanic Membrane PerforationTympanoplastyMyringosclerosisOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 9 , September 2009 , pp. 969 - 972
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Gray, S, Lusk, RP. Tympanic membrane-tympanostomy tubes. In: Cummings, CW, Fredrickson, JM, Harker, LA, Krause, LE, Schuller, DE, eds. Otolaryngology-Head and Neck Surgery, 2nd edn. St Louis: Mosby Year Book, 1993;4:2971–7Google Scholar
2 Chole, RA, Sudhoff, H. Chronic otitis media, mastoiditis, and petrositis. In: Cummings, CW, Flint, PW, Haughey, BH, Robbins, KT, Thomas, JR, eds. Otolaryngology-Head and Neck Surgery, 4th edn. St Louis: Mosby Year Book, 2005;4:2988–3012Google Scholar
3 Kessler, A, Potsic, WP, Marsh, RR. Type I tympanoplasty in children. Arch Otolaryngol Head Neck Surg 1994;120:487–90CrossRefGoogle ScholarPubMed
4 Brodsky, LS, Pizzuto, MP, Nagy, ML, Poje, CP, Carr, MM. Success rates in paediatric tympanoplasty. J Otolaryngol 2001;30:199–20Google Scholar
5 Vlastarakos, PV, Nikolopoulos, TR, Korres, S, Tavoulari, E, Tzagaroulakis, A, Ferekidid, E. Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications? Eur J Pediatr 2007;166:385–91Google Scholar
6 Vrabec, JT, Deskin, RW, Grady, JJ. Meta-analysis of pediatric tympanoplasty. Arch Otolaryngol Head Neck Surg 1999;125:530–4CrossRefGoogle ScholarPubMed
7 Umapathy, N, Dekker, PJ. Myringoplasty: is it worth performing in children? Arch Otolaryngol Head Neck Surg 2003;129:1053–5Google Scholar