Myringoplasty in children: retrospective analysis of 35 cases

Nemer Al-Khtoum,Mohammad Ali Hiari

doi:10.1016/s1808-8694(15)30654-6

Nemer Al-Khtoum, Mohammad Ali Hiari

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https://doi.org/10.1016/s1808-8694(15)30654-6

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Abstract

SummaryAims: to carry out a retrospective analysis of myringoplasty results in children in our institute.Materials and methodsThirty five children, 9 to 14 years old, who underwent myringoplasty in our hospital between April 2002 and May 2004, formed the study group. Data regarding successful perforation closure, factors influencing success rates and hearing improvement were recorded.ResultsClosure of perforation was successful in 30 (85.7%) of the 35 patients. Graft take failure occurred in 5 patients. Audiological improvement was seen in 27 (77%) patients, out of which 23 cases had 10-15 db and 4 cases had 15-20 db air-bone gap. Hearing was found to be worse postoperatively in 3 patients, while no change was noted in the remaining 5 patients. There was no case of profound hearing loss.ConclusionMyringoplasty is a beneficial procedure in the pediatric population in the hands of a skilled and experienced surgeons. If performed properly, it has a good chance of restoring a child's hearing. However, a large study with a long follow up is warranted in order to come to a definitive conclusion.

Highlights

Otologic surgery in children is regarded by many as being less successful than in adult patients
The higher incidence of otitis media in the pediatric population is often implicated as the reason for poorer results
9 to 14 years old, who underwent myringoplasty in the department of Otolaryngology at King Hussein Medical Center in Jordan between April 2002 and May 2004, formed the study group

Summary

Introduction

Otologic surgery in children is regarded by many as being less successful than in adult patients. The higher incidence of otitis media in the pediatric population is often implicated as the reason for poorer results. This leads to disparate opinions concerning the appropriate indications for tympanoplasty in children. Most would agree that the ear with cholesteatoma or some other middle ear tumor warrants surgery. The chronically draining ear that is resistant to medical therapy requires surgery. Some advocate early surgery to correct anatomic defects and improve hearing. Others maintain elective surgery should be deferred until the peak incidence of acute otitis media has passed

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