Abstract
Paediatric tympanoplasty is regarded by many as being less successful than in adults due to higher incidence of otitis media. In our study, we are trying to determine the pre-operative conditions that influence the success of paediatric tympanoplasty and construct a prognostic index for the same.To determine which pre-operative conditions or surgical technique may influence the success of pediatric tympanoplasty and to construct a prognostic index for the same.40 children between 8-15 years were included in this prospective study between June 2018- August 2019 in Department of ENT, in our institution. Pure Tone Audiograms were recorded pre and post operatively.The positive outcomes measured were integrity of tympanic membrane, minimum of 10decibel gain in auditory threshold and air filled space in middle ear. Higher success rate was observed in cases with elder age group (12-15 years), shorter duration of ear discharge, longer period of dry ear and small size of perforation.Tympanoplasty in children is a current and controversial theme. We have made a novice attempt to define factors that predict success or failure in paediatric tympanoplasty.
Highlights
Paediatric tympanoplasty is regarded by many as being less successful than in adults due to higher incidence of otitis media
Reported success rates for paediatric tympanoplasty in children have ranged between 56% to 94%, with this wide range being attributed to different selection criteria and definitions of success.[1]
2 over time, otorhinolaryngologists dedicated to paediatric pathology have considered it necessary to have a more complete definition of “ success “- one that should include 1) Integrity of the graft or membrane; 2) post-operative gainin the auditory threshold, or conservation of hearing; and 3) complete healing with the space of the aerated middle ear manifested by the graft located in the correct anatomical position, with neither atelectasis nor otitis media with effusion. 3
Summary
Paediatric tympanoplasty is regarded by many as being less successful than in adults due to higher incidence of otitis media. 5 Some of the factors which received attention are age, surgical technique, status of the contralateral ear, duration of ear discharge, period of dry ear, size of perforation, presence of adenoids, presence of active infection, and function of the Eustachian tube. In this case series, we are trying to define some factors which positively or negatively influence outcome.
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