Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-27T21:21:21.858Z Has data issue: false hasContentIssue false
  • English
  • Français

A long term view of myringoplasty in children

Published online by Cambridge University Press:  29 June 2007

J. D. Blanshard ,
A. K. Robson ,
I. Smith  and
A. R. Maw
J. D. Blanshard*
Affiliation:
Bristol
A. K. Robson
Affiliation:
Bristol
I. Smith
Affiliation:
Bristol
A. R. Maw
Affiliation:
Bristol
*
Mr. J. D. Blanshard, Department of Otolaryngology, Bristol Royal InfirmaryBristol BS2 8HW.
Get access Rights & Permissions [Opens in a new window]

Abstract

Fifty-nine type 1 tympanoplasties in children under 14 years of age were assessed by recall to a special follow-up clinic up to 15 years post-operatively. Overall 78 per cent of tympanic membranes were found to be intact with a late failure of grafts noted in 6 per cent of cases. An improvement in the audiological threshold was found in 51 per cent, 24 per cent were unchanged, the remaining 25 per cent suffered a deterioration which was seen both immediately post-operatively and thereafter until reviewed in the special clinic. The age at operation, size of the perforation, grade of surgeon carrying out the operation and prior adenoidectomy had no statistically significant influence on the success rate or the audiologicaloutcome. Revision procedures achieved similar graft take rates to the initial procedures but fared worse audiologically. We conclude that in the majority the operation was successful but hearing gain was not as good as expected and subject to late deterioration. A long term follow-up is important to detect this and other complications.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 10 , October 1990 , pp. 758 - 762
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Armstrong, B. W. (1965) Tympanoplasty in children. Laryngoscope, 75: 1062–1069Google Scholar
Berger, G., Shapira, A., Marshak, G. (1983) Myringoplasty in children. Journal of Otolaryngology, 12: 4: 228–230.Google Scholar
Bluestone, C. D., Cantekin, E. I., Douglas, G. S. (1979) Eustachian tube function related to the results oftympanoplasty in children. Laryngoscope, 89: 450–458.Google Scholar
Buchwach, K. A., Birck, H. G. (1980) Serous otitis media and Type 1 tympanoplasties in children: A retrospective study. Annals of Otology, Rhinology and Laryngology, 89. Supplement, 68: 324–325.CrossRefGoogle ScholarPubMed
Friedberg, J., Gillis, T. (1980) Tympanoplasty in childhood. Journal of Otolaryngology, 9: 165–168.Google Scholar
Halik, J. J., Smyth, G. D. L (1988) Long-term Results of Tympanic Membrane Repair. Otolaryngology–Head andNeck Surgery, 98: 162–169.CrossRefGoogle ScholarPubMed
Koch, W. M.,Friedman, E. M., McGill, T. J. I., Healy, G. B. (1989) Myringoplasty and Type 1 Tympanoplasty in Children. Presented at the annual meeting of the American Society of Pediatric Otolaryngology.Google Scholar
Lau, T., Tos, M. (1986) Tympanoplasty in Children. An analysis of late results. American Journal of Otology 7: 55–59.Google Scholar
Ophir, D., Porat, M., Marshak, G. (1987) Myringoplasty in the Paediatric Population. Archives of Otolaryngology Head and Neck Surgery, 113: 1288–1290.CrossRefGoogle Scholar
Raine, C. H., Singh, S. (1983) Tympanoplasty in children. A review of 114 Cases. Journal of Laryngology and Otology, 97: 217–221.Google Scholar
Tos, M. (1972) Tympanoplasty and Age. Archives of Otolaryngology, 96: 493–498.CrossRefGoogle ScholarPubMed
Tos, M. (1974) Late results in tympanoplasty.Archives of Otolaryngology, 100: 302–305.Google Scholar
Tos, M., Lau, T. (1989) Stability of Tympanoplasty in Children. Otolaryngologic Clinics of North America, 22: 15–28.CrossRefGoogle ScholarPubMed