Investigation of factors affecting pediatric type 1 endoscopic tympanoplasty results and success rates of surgery

Cemal Haci; Ozlem Bayram; Gokhan Gurbuz; Yagmur Barcan; Resit Murat Acikalin; Husamettin Yasar

doi:10.1016/j.anl.2023.03.001

Investigation of factors affecting pediatric type 1 endoscopic tympanoplasty results and success rates of surgery

Auris Nasus Larynx. 2023 Dec;50(6):848-853. doi: 10.1016/j.anl.2023.03.001. Epub 2023 Apr 1.

Authors

Cemal Haci¹, Ozlem Bayram², Gokhan Gurbuz², Yagmur Barcan², Resit Murat Acikalin², Husamettin Yasar²

Affiliations

¹ Haseki Training and Research Hospital, Dept. of Otorhinolaryngology Fatih, Istanbul, Turkey; Istanbul Rumeli Univercity, Vocational School of Health Services, Dep.of Audiometry, Istanbul, Turkey. Electronic address: tzemalchatzi@hotmail.com.
² Haseki Training and Research Hospital, Dept. of Otorhinolaryngology Fatih, Istanbul, Turkey.

PMID: 37005113
DOI: 10.1016/j.anl.2023.03.001

Abstract

Objective: There are many factors that affect the results of tympanoplasty in children. Recurrent ear infections, hearing loss, and more serious complications due to cholesteatoma may be observed. This study examined factors affecting the success of type 1 endoscopic tympanoplasty surgery in pediatric patients and investigated recommended procedures to increase the success of the operation.

Methods: Our study included pediatric patients who underwent type 1 endoscopic tympanoplasty operation for chronic otitis media. Patient files were analyzed retrospectively. Hearing results before and after the operations were recorded.. Patients were divided into groups according to gender, age (<12 age group, ≥12 age group), and perforation type. Hearing results and physical examination findings were compared for each group.

Results: A total of 204 pediatric patients were included in our study: 114 were male and 90 were female. Patients' hearing results were compared according to the size and location of their tympanic membrane perforations. Hearing loss was found to increase as the size of the tympanic membrane perforation increased. In addition, it was observed that perforations in the posterior quadrant caused more severe hearing loss than in the other quadrants. The postoperative results of the two groups <12 years old, and ≥12 years old were evaluated according to age. Postoperative improvement was higher in the ≥12 age group compared to the <12 age group.

Conclusion: According to the results of this study, tympanoplasty surgeries performed on patients younger than 12 have a decreased success rate. Among the many factors that affect the success of an operation, age is one of the most important. There are many factors that affect the results of the operation, perforation size and localization is one of them. There are many factors that affect the success of surgery such as pediatric patients and adult patients. It is useful to make a personal evaluation and to plan the surgery by evaluating the obstacles such as eustachian tube maturation and difficulty in postoperative care in pediatric patients.

Keywords: Age; Ear drum; Grafts; Hearing results; Pediatric tympanoplasty.

MeSH terms

Adult
Child
Deafness* / surgery
Female
Humans
Male
Myringoplasty / methods
Otitis Media* / complications
Otitis Media* / surgery
Retrospective Studies
Treatment Outcome
Tympanic Membrane Perforation* / complications
Tympanoplasty / methods