Myringoplasty in children : our results
Joint Authors
Hariga, Ines
Mubarak, Shiraz
Abid, Wafa K.
Nasif, Ines
Bin Gamra, Ulfah
Source
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Issue
Vol. 16, Issue 1 (30 Apr. 2015), pp.41-46, 6 p.
Publisher
Egyptian Society of Ear Nose Throat and Allied Science
Publication Date
2015-04-30
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Introduction : Tympanoplasty is a surgical operation involving the repair of the tympanic membrane without any ossicular chain damage.
Objective : To analyze prognostic factors influencing the success of myringoplasty in children under 17 years.
Method : We present a retrospective study (2000-2011) reviewing a total of 63 children between 7 and 16 years who had undergone a primary tympanoplasty which was bilateral in 7 cases.
Anatomical success was defined as an intact graft at the last follow-up visit with a minimum of 6 months.
Hearing success was considered if the post-operative air bone gap (ABG) was less than 10 dB calculated on 500 Hz, 1000 Hz and 2000 Hz.
Results : We recorded 70 operated ears.
The mean age was 14.25 years [7-16] with a sex-ratio of 0.52.
The perforation was subtotal in most cases (31.4 %).
We used conchal cartilage graft in 20 %, tragus cartilage in 27 % and temporalis fascia in 53 %.
Postoperatively, perforation closure was observed in 92.8 % (n = 65) and hearing improvement in 65 %.
We obtained better audiological and anatomical results with conchal graft (85 % and 100 % respectively) compared with tragus cartilage and temporalis fascia without a statistically significant difference.
Significant factors influencing surgical outcome were age older than 12 years (p = 0.02), absence of allergic rhinitis (p < 0.001), dry middle ear (p = 0.001), preoperative conductive hearing loss (p = 0.04) and placement of the graft under the malleus handle (p = 0.04).
Conclusion : Myringoplasty is a valid treatment for tympanic membrane perforation in pediatric population.
If performed properly, it has a good chance of restoring a child’s hearing.
American Psychological Association (APA)
Bin Gamra, Ulfah& Nasif, Ines& Abid, Wafa K.& Hariga, Ines& Mubarak, Shiraz. 2015. Myringoplasty in children : our results. Egyptian Journal of Ear, Nose, Throat and Allied Sciences،Vol. 16, no. 1, pp.41-46.
https://search.emarefa.net/detail/BIM-536514
Modern Language Association (MLA)
Bin Gamra, Ulfah…[et al.]. Myringoplasty in children : our results. Egyptian Journal of Ear, Nose, Throat and Allied Sciences Vol. 16, no. 1 (2015), pp.41-46.
https://search.emarefa.net/detail/BIM-536514
American Medical Association (AMA)
Bin Gamra, Ulfah& Nasif, Ines& Abid, Wafa K.& Hariga, Ines& Mubarak, Shiraz. Myringoplasty in children : our results. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2015. Vol. 16, no. 1, pp.41-46.
https://search.emarefa.net/detail/BIM-536514
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 46
Record ID
BIM-536514