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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(04): e438-e443
DOI: 10.1055/s-0039-3402432
Original Research

A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

P. Naina 
1   Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
,
Apar Pokharel
1   Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
,
Kamran Asif Syed
1   Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
,
Mary John
1   Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
,
Ajoy Mathew Varghese
1   Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
,
Mary Kurien
1   Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
2   Department of ENT, Pondicherry Institute of Medical Sciences, Puduchery, India
› Author Affiliations Funding None of the authors have any financial connections, direct or indirect in connection with the contents of the present paper.
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Abstract

Introduction The surgical outcome of chronic otitis media (COM) of the mucosal type in the pediatric population with high rates of recurrent tympanic membrane perforation is indeed a concern for the attending surgeon.

Objective The present study was done to evaluate the outcome of tympanoplasty in children with chronic otitis media mucosal type.

Methods A retrospective analysis of the medical records of all children, aged < 16 years old, who underwent tympanoplasty for COM of the mucosal type was performed. These patients were addressed by a three-point assessment, for predicting outcome of tympanoplasty, which included the age of the patient, addressing the nasal/pharyngeal issues, and the status of the COM (discharging or dry). Surgical success was assessed in terms of graft uptake and improvement of hearing. Factors affecting the surgical outcome were also analyzed.

Results A total of 90 children underwent type 1 tympanoplasty; 7 were lost to follow-up and 10 had incomplete audiometric results. In the 73 tympanoplasties analyzed, graft uptake was seen in 91.7% of the patients. Children with longer duration of ear discharge (> 8 years) had greater hearing loss. Children aged > 8 years old showed statistically significant higher chance of graft uptake (p = 0.021). Five of the six children who had graft rejection had bilateral disease.

Conclusion A three-point assessment in the management of pediatric COM of the mucosal type offers good outcomes with post-tympanoplasty graft uptake rates > 90%.

Keywords

chronic otitis media - mucosal type - pediatric - tympanoplasty - outcomes - assessment


Publication History

Received: 24 April 2019

Accepted: 15 October 2019

Article published online:
27 February 2020

© .

Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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