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Surgical Outcomes of Type 1 Tympanoplasty in Chronic Otitis Media in Paediatric Patients: A Prospective Study

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Abstract

Objectives: To observe the surgical outcome of type 1 tympanoplasty in paediatric patients in the form of graft uptake and audiological improvement. Materials and methods: A prospective study was done in which 40 paediatric patients in age group 6-16 years, diagnosed of chronic otitis media, were taken up for tympanoplasty under general anaesthesia. Patients were followed in post operative period at 4, 6 and 12 weeks for assessment of graft status and audiological evaluation. Results: In this study, we found surgical success rate in the form of graft uptake in 80% of the cases and audiological improvement in 75% of the cases. Conclusion: Tympanoplasty is safe and effective in children with adequate graft uptake and audiological outcome.

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References

  1. Rafi T (2001) Tympanoplasty in children:a study of 30 cases. J Surg Pak 6:11–12

    Google Scholar 

  2. Bluestone CD (1998) Epidemiology and pathogenesis of chronic suppurative otitis media: implications for prevention and treatment. Int J Pediatr Otorhinolaryngol 42(3):207–223

    Article  CAS  PubMed  Google Scholar 

  3. Myer CM III (2001) Historical perspective on the use of otic antimicrobial agents. Pediatr Infect Dis J 20(1):98–101

    Article  PubMed  Google Scholar 

  4. Palomar GV, Palomar AV (2001) Are some ear drops ototoxic or potentially ototoxic Acta. Otolaryngol 121(5):565–568

    Google Scholar 

  5. Smith AW, Hatcher J, Mackenzie IJ, Thompson S, Bal I, Macharia I et al (1996) Randomised controlled trial of treatment of chronic suppurative otitis media in kenyan schoolchildren. The Lancet 348(9035):1128–1133

    Article  CAS  Google Scholar 

  6. Chadha SK, Agarwal AK, Gulati A, Garg A (2006) A comparative evaluation of ear diseases in children of higher versus lower socioeconomic status. J Laryngol Otol 120(1):16–19

    Article  CAS  PubMed  Google Scholar 

  7. WHO/CIBA Foundation Workshop. Prevention of hearing impairment from chronic otitis media. WHO/PDH/98.4, London CIBA, Foundation (1996) Knapik M and Saliba I. Pediatric myringoplasty:a study of factors affecting outcome. International Journal of Pediatric otorhinolaryngology. 2011;75(6):818 – 23

  8. Knapik M and Saliba I. Pediatric myringoplasty:a study of factors affecting outcome. International Journal of Pediatric otorhinolaryngology. 2011;75(6):818 – 23

  9. Rozendorn N, Wolf M, Yakirevich A, Shapira Y, Carmel E (2016) Myringoplasty in children. Int J Pediatr Otorhinolaryngol 90:245–250

    Article  PubMed  Google Scholar 

  10. Jensen RG, Homøe P, Andersson M, Koch A (2011) Long-term follow-up of chronic suppurative otitis media in a high-risk children cohort. Int J Pediatr Otorhinolaryngol 75(7):948–954

    Article  PubMed  Google Scholar 

  11. McGilchrist CA, Hills LJ (1991) A semi-markov model for ear infection. Australian J Statisitics 33:5–16

    Article  Google Scholar 

  12. Rupa V, Jacob A, Joseph A (1999) Chronic suppurative otitis media:prevalence and practices among rural south indian children. Int J Pediatr Otorhinolaryngol 48(3):217–221

    Article  CAS  PubMed  Google Scholar 

  13. Adhikari P, Kharel B, Ma J, Baral DR, Pandey T, Rijal R (2008) Pattern of otological diseases in school going children of Kathmandu Valley. Int Arch Otorhinolaryngol 12:502–505

    Google Scholar 

  14. Adhikari P (2009) Pattern of ear diseases in rural school children:experiences of free health camps in Nepal. Int J Pediatr Otorhinolaryngol 73(9):1278–1280

    Article  PubMed  Google Scholar 

  15. Chandrasenkar S, House JW, Devgan U (1995) Pediatric tympanoplasty. A 10-year experience. Arch Otolaryngol Head Neck Surg 121:873–878

    Article  Google Scholar 

  16. Koch WM, Friedman EM, McGill TJ, Healy GB (1990) Tympanoplasty in children. The Boston Children’s hospital experience. Arch Otolaryngol Head Neck Surg 116(1):35–40

    Article  CAS  PubMed  Google Scholar 

  17. Kumar N, Chilke D, Puttewar MP (2012) Clinical Profile of Tubotympanic CSOM and its management with special reference to site and size of tympanic membrane perforation, eustachian tube function and three flap tympanoplasty. Indian J Otolaryngol Head Neck Surg 64(1):5–12

    Article  PubMed  Google Scholar 

  18. Singh GB, Sidhu TS, Sharma A, Singh N (2005) Tympanoplasty type 1 in children -an evaluative study. Int J Pediatr Otorhinolaryngol 69:1071–1076

    Article  PubMed  Google Scholar 

  19. Demirci S, Tuzuner A, Karadas H, Acıkgoz C, Caylan R, Samim EE (2014) Comparison of temporal muscle fascia and cartilage grafts in pediatric tympanoplasties. Am J Otolaryngol 35(6):796–799

    Article  PubMed  Google Scholar 

  20. Singh GB, Arora R, Garg S, Kumar S, Kumar D (2016) Paediatric tympanoplasty:comparative study between patients aged 5–8 years and those aged over 14 years. J Laryngology Otology 130(07):635–639

    Article  CAS  Google Scholar 

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Correspondence to Sanjeev Bhagat.

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Bhatti, H., Goel, K., Bhagat, S. et al. Surgical Outcomes of Type 1 Tympanoplasty in Chronic Otitis Media in Paediatric Patients: A Prospective Study. Indian J Otolaryngol Head Neck Surg 75, 3421–3426 (2023). https://doi.org/10.1007/s12070-023-03965-1

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