Cartilage tympanoplasty for retraction pocket of the tympanic membrane in children

Milan Urík; Kateřina Sobotková; Michal Bartoš; Josef Machač; Vít Kruntorád; Jiří Jarkovský

doi:10.3389/fped.2024.1314184

Cartilage tympanoplasty for retraction pocket of the tympanic membrane in children

Front Pediatr. 2024 Feb 14:12:1314184. doi: 10.3389/fped.2024.1314184. eCollection 2024.

Authors

Milan Urík¹, Kateřina Sobotková¹, Michal Bartoš¹, Josef Machač¹, Vít Kruntorád¹, Jiří Jarkovský²

Affiliations

¹ Department of Pediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine of Masaryk University, Brno, Czech Republic.
² Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic.

Abstract

Background: Retraction pocket (RP) of the tympanic membrane (TM) is a common pathology in children that can cause ossicular chain erosion, cholesteatoma formation, and potentially life-threatening complications of cholesteatoma. This study assessed the functional and anatomical results of cartilage grafting in children with severe RP of the TM.

Methods: This was a retrospective review of 212 children from a tertiary referral center.

Results: We identified significant differences in hearing results, indication criteria, and location of TM fixation between stages II and III of RP (according to Charachon). We observed a significantly higher incidence of RP in boys than in girls.

Conclusions: Cartilage tympanoplasty for retraction pocket of the tympanic membrane in children is a safe procedure with good anatomical and hearing results.

Keywords: cartilage tympanoplasty; children; hearing; retraction pocket; tympanic membrane.

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article.