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Management of retraction pockets of the pars tensa in children by excision and ventilation tube insertion

Published online by Cambridge University Press:  29 June 2007

R. M. Walsh ,
J. P. Pracy ,
L. Harding  and
D. A. Bowdler
R. M. Walsh*
Affiliation:
Department of Otolaryngology, Lewisham Hospital, London SE13 n6LH, UK.
J. P. Pracy
Affiliation:
Department of Otolaryngology, Lewisham Hospital, London SE13 n6LH, UK.
L. Harding
Affiliation:
Department of Otolaryngology, Lewisham Hospital, London SE13 n6LH, UK.
D. A. Bowdler
Affiliation:
Department of Otolaryngology, Lewisham Hospital, London SE13 n6LH, UK.
*
Mr R. M. Walsh, Department of Otolaryngology, Lewisham Hospital, Lewisham High Street, London SE13 6LH
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Abstract

Retraction pockets of the pars tensa in children can result in erosion of the ossicles leading to hearing loss and eventually cholesteatoma formation. Several different types of treatment for the more severe grades of retraction pocket have been described. The aim of this pilot study was to assess the outcome following simple excision and ventiolation tube insertion of grade II, III and IV retraction pockets of the pars tensa. The eardrums were grades according to Sadé's classification (1979).

There were seven grade II and four garade III ratractions. Ten eardrums healed completely in a mean time of 3.6 months (mean follow-up 16 months) and there was one residual perforation. Two retractions recurred and both of these were only grade I. Clinically, an improvement in hearing was reported in seven children (eight ears) and the average air conduction threshold gain for these patients was 16 dB. A larger prospective study is currently underway.

Keywords

Tympanic membraneOtitis media with effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 9 , September 1995 , pp. 817 - 820
Copyright
Copyright © JLO (1984) Limited 1995

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