Pediatric type 1 tympanoplasty – Does age matter?

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  • Ali Abood, Regional Hospital West Jutland
  • ,
  • Bartosz Torzynski, Regional Hospital West Jutland
  • ,
  • Therese Ovesen

Introduction: Tympanic membrane perforations might have a negative impact on the patient's quality of life, especially in the pediatric population. Surgery is therefore often required. The most adequate age for surgery remains unclear and is debated in the current literature. The aim of this study was to investigate outcomes of type I tympanoplasty in children and examine the impact of age on surgical outcome. Methods: Retrospective cohort study. All patients under the age of 18 undergoing type I tympanoplasty at Regional Hospital West Jutland, Denmark, from 1/1–2013 to 31/12–2017 had their medical files reviewed. The primary endpoint of interest was tympanic membrane closure rate six months following surgery, i.e. surgical success. Secondary outcomes were air-bone-gap reduction and the correlation between age and surgical success. Results: A total of 180 patients undergoing 197 procedures met the predefined criteria. Age at the time of surgery ranged between five and 17 years. Mean age at the time of surgery was 10.1 years (95% CI 9.1–11.2). Surgical success was achieved in 91,3% of the cases. No correlation between age and surgical success was found. Mean air-bone gap was reduced from 19.8 dB (95% CI 18.5–21.0) preoperatively, to 6.9 dB (95% CI 6.1–7.7) at follow-up, p < 0.05. Air-bone gaps ≤10 dB at follow-up were achieved in 155 of the cases (78.6%). Postoperative infection seemed to increase the risk of surgical failure, RR 2.80 ((95% CI 1.06–7.38), p = 0.037). Conclusions: Type 1 tympanoplasty in children is an effective treatment in terms of achieving an intact tympanic membrane and improved hearing. No correlation could be found between age and surgical success. Postoperative infection influences surgical outcome negatively.

OriginalsprogEngelsk
Artikelnummer110219
TidsskriftInternational Journal of Pediatric Otorhinolaryngology
Vol/bind137
Antal sider6
ISSN0165-5876
DOI
StatusUdgivet - okt. 2020

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