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Tympanoplasty in children – a prospective study

Published online by Cambridge University Press:  29 June 2007

Yogesh Bajaj ,
A. S. Bais  and
Bakul Mukherjee
Yogesh Bajaj*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Lady Hardinge Medical College and S.S.K. Hospital and Kalawati Saran Children's Hospital, Delhi, India.
A. S. Bais
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Lady Hardinge Medical College and S.S.K. Hospital and Kalawati Saran Children's Hospital, Delhi, India.
Bakul Mukherjee
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Lady Hardinge Medical College and S.S.K. Hospital and Kalawati Saran Children's Hospital, Delhi, India.
*
Address for correspondence: Dr Yogesh Bajaj, 8 Kiran Vihar, Vikas Marg Extn., Delhi-110092, India. Fax: 0091 11 6425564
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Abstract

Considerable controversy surrounds the subject of tympanoplasty in children. This prospective study looked at the results of type-I tympanoplasty in children. Forty-five children in the age group of five to 14 years were selected for the study. All these cases had a central perforation without any evidence of cholesteatoma. The ear to be operated had to be dry for at least six weeks before surgery. Type I tympanoplasty was performed on these patients with autograft temporalis fascia by either the underlay or overlay technique.

The overall success rates in 45 operations evaluated one year post-operatively was 91.1 per cent. The age of the patient had no influence on the success rate. The two factors which adversely influenced the success rate were the presence of near total perforation and bilateral perforations.

It was concluded that type-I tympanoplasty has a good chance of success in children regardless of age.

Keywords

TympanoplastyChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 12 , December 1998 , pp. 1147 - 1149
Copyright
Copyright © JLO (1984) Limited 1998

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Footnotes

The paper was presented at the Annual Conference of Association of Otolaryngologists of India, Delhi State Branch on 9th March, 1997, the 4th Annual Conference of Association of Paediatric Otolaryngologists of India on 20th September, 1997 and the 50th Annual Conference of Association of Otolaryngologists of India on 11th January, 1998.

References

Adkins, W. V., White, B., Charleston, S. C. (1984) Type I tympanoplasty: influencing factors. Laryngoscope 94: 916–918.CrossRefGoogle ScholarPubMed
Armstrong, B. W., Charlotte, N. C. (1965) Tympanoplasty in children. Laryngoscope 75: 1062–1069.CrossRefGoogle ScholarPubMed
Bluestone, C. D., Cantekin, E. J., Douglas, G. S. (1979) Eustachian tube function related to the results of tympanoplasty in children. Laryngoscope 89: 450–458.CrossRefGoogle Scholar
Chandrasekhar, S. S., House, J. W., Devgan, U. (1995) Pediatric tympanoplasty – a 10 year experience. Archives of Otolaryngology – Head and Neck Surgery 121: 873–878.CrossRefGoogle ScholarPubMed
Cohn, A. M., Schwaber, M. K., Anthony, L. S., Jerger, J. F. (1979) Eustachian tube function and tympanoplasty. Annals of Otolaryngology 89: 339–346.Google Scholar
Gans, H. (1963) Tympanoplasty in children. Archives of Otolaryngology 80: 350–352.CrossRefGoogle Scholar
Isaacson, G. (1994) Tympanoplasty in children. Otolaryngologic Clinics of North America 27: 593–605.CrossRefGoogle ScholarPubMed
Kessler, A., Postsic, W. P., Marsh, R. R. (1994) Type I tympanoplasty in children. Archives of Otolaryngology – Head and Neck Surgery 120(5): 487–490.CrossRefGoogle ScholarPubMed
Koch, W. M., Friedman, E. M., McGill, T. J. I., Healy, G. B. (1990) Tympanoplasty in children: The Boston Children's Hospital experience. Archives of Otolaryngology – Head and Neck Surgery 116: 35–40.CrossRefGoogle ScholarPubMed
Marko, T. (1972) Tympanoplasty and age. Archives of Otolaryngology – Head and Neck Surgery 96: 493–498.Google Scholar
Ophir, D., Porat, M., Marshak, G. (1987) Myringoplasty in the pediatric population. Archives of Otolaryngology – Head and Neck Surgery 113(12): 1288–1290.CrossRefGoogle ScholarPubMed
Raine, C. H., Singh, S. D. (1983) Tympanoplasty in children – a review of 114 cases. Journal of Laryngology and Otology 97: 217–221.CrossRefGoogle ScholarPubMed