Faculty Collaboration Database

Pediatric cartilage interleave tympanoplasty. Otolaryngol Head Neck Surg 2007 Aug;137(2):284-8

Date

08/02/2007

Pubmed ID

17666257

DOI

10.1016/j.otohns.2007.02.040

Scopus ID

2-s2.0-34547108849 (requires institutional sign-in at Scopus site)   16 Citations

Abstract

OBJECTIVE: To describe a novel technique of cartilage tympanoplasty, and review surgical and hearing results in children.

STUDY DESIGN AND SETTING: Retrospective chart review of all patients who had undergone tympanoplasty at a pediatric tertiary care hospital from August 2002 to July 2005. Forty-two patients were identified with a minimum follow-up time of 12 months.

RESULTS: Mean preoperative perforation size was 21.3 percent (range 10%-90%), and mean patient age was 7.9 years (range 3-16 years). Median clinical follow-up was 24 months. Tympanic membrane closure and graft integration were achieved in 40 of 42 patients (95.2%), and 35 of 42 (85.7%) patients maintained an intact, stable tympanic membrane on long-term follow-up. A total of 93.8 percent of patients achieved a postoperative air-bone gap of less than or equal to 20 dB, and mean improvement in the air-bone gap was 10.7 dB.

CONCLUSION AND SIGNIFICANCE: Cartilage interleave tympanoplasty is a versatile, stable, and effective technique for tympanic membrane repair in children.

Author List

Gaslin M, O'Reilly RC, Morlet T, McCormick M

Author

Michael E. McCormick MD Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Audiometry
Child
Child, Preschool
Ear Cartilage
Female
Humans
Male
Minimally Invasive Surgical Procedures
Retrospective Studies
Statistics, Nonparametric
Treatment Outcome
Tympanic Membrane Perforation
Tympanoplasty