ASSESSMENT OF FACTORS AFFECTING THE SURGICAL OUTCOME IN TYMPANOPLASTY IN CHILDREN
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 11483-11488
AbstractBackground: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity, which presents with recurrent ear discharges or otorrhoea through a tympanic perforation. The present study was conducted to assess factors affecting the surgical outcome in tympanoplasty in children.
Materials & Methods: 54pediatric patients of persistent perforation of the tympanic membraneof both genders were enrolled. Age at time of surgery, state of contralateral ear, previous adenoidectomy, cause of perforation, size of perforation, infection at the time of surgery, state of mucosa, age at first occurrence of perforation, presence of craniofacial dysmorphia, and surgical technique were recorded.
Results: Out of 54 patients, boys were 34 and girls were 20. Success rate was seen in 30 and failure in 24 cases. Contralateral ear normal in 22 and 18 and CME in 8 and 6. Cause of perforation was infection in 24 and 19, previous adenoidectomy was not done in 17 and 14 and done in 13 and 10, size of perforation was <50% in 16 and 16 and >50% in 14 and 8, state of mucosa was normal in 25 and 17, surgical technique was onlay in 24 and 18, otorrhea at time of surgery was absent in 28 and 20 and present in 2 and 4 in success and failure cases respectively. The difference was significant (P< 0.05). Closure of perforation was seen in 50. Hearing gain was seen in 32 and no gain in 22. Air-filled space was adequate in 46, otitis media with effusion in 6 and partial atelectasis in 2 cases. The difference was significant (P< 0.05).
Conclusion: Study mitigates against delaying tympanoplasty type I in paediatric patients.
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