Type 1 tympanoplasty in pediatric patients: Comparison of fascia and perichondrium grafts
Yükleniyor...
Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Ltd.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective:The timing of tympanoplasty in the pediatric age group is an ongoing debate. The purpose of thisstudy was to analyze and compare the success of grafts in type 1 tympanoplasty in pediatric patients, and toevaluate the prognostic factors that may affect its success.Materials and methods:A retrospective study of 42 pediatric patients who were younger than 18 years andunderwent a primary type 1 tympanoplasty using tragal cartilage perichondrium and temporalis fascia fromJanuary 2013 to December 2018, were evaluated. A total of 42 medical records of children aged between 8 and18 years (20 female, 22 male) were reviewed. Age, gender, co-morbidities, perforation size and location, type(central, marginal), pre- and post-operative hearing levels, mean air-bone gap (ABG), graft material (fascia,perichondrium), length of follow up and surgical outcomes were collected.Results:The overall graft success rate was 83.3% (out of 35 patients). The graft success rate was significantlyhigher 95.2% (20/21) for the perichondrium group compared with 71.4% (15/21) for the temporal fascia group(p = 0.023). The functional success rate (postoperative air–bone gap < 20 dB) obtained in the perichondriumgroup was 90.4% (19/21) and 85.7% (18/21) in the fascia group, respectively. After a mean follow-up of27.5 ± 11.55 months, the mean hearing improvement was 11.26 ± 7.53 dBHL for overall the group. Presenceof contralateral otitis media with effusion (OME) was found a risk for reperforation and bilateral perforationswere negatively affected graft success rate (p < 0.01). Graft success did not affected by age, gender and typeand location of perforation (p > 0.05).Conclusion:Both temporalis fascia and tragal cartilage perichondrium are suitable graft materials for pediatrictympanoplasty with 83.3% of graft success rate. Tragal cartilage perichondrium may be thefirst choice of graftmaterial due to its high success rates. There were no significant differences between the fascia and perichon-drium groups in terms of functional results. Reperforation is more likely to occur in bilateral perforations andcontralateral OME, and should be treated with perichondrium or cartilage graft.
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Açıklama
Anahtar Kelimeler
Functional Outcomes, Type 1 Tympanoplasty, Graft Success Rate
Kaynak
International Journal of Pediatric Otorhinolaryngology
WoS Q Değeri
N/A
Scopus Q Değeri
Q2
Cilt
121
