Abstract
Introduction Myringoplasty is a common otologic procedure to restore the integrity of the tympanic
membrane in cases of traumatic or pathologic perforations. Many grafting materials
have been used with different techniques.
Objective In the present work, we evaluate the surgical and audiological outcomes of periosteal
graft overlying the mastoid cortex through a retroauricular incision in a pediatric
cohort.
Methods A retrospective study was carried out involving all children aged ≤ 16 years who
underwent periosteal graft myringoplasty for the treatment of chronic suppurative
otitis media with dry central perforation in our hospital from April 2019 to April
2021. All patients were followed up for one year to assess the anatomical success
and functional outcomes by comparing the preoperative and postoperative (after six
months) results of pure tone audiometry (PTA).
Results The sample was composed of 36 patients; 20 of them were female (55.6%) and 16 were
male (44.4%) subjects, with ages ranging from 7 to 16 (mean: 12.7) years. Four patients
underwent surgery in both ears (with an interval of 6 to 9 months). Out of 40 surgeries
performed, 38 ears have shown anatomical success (95%). A highly significant improvement
in hearing was obtained (the mean difference between the pre- and postoperative results
of the PTA was of 14.6 ± 3.45 dB (p < 0.001).
Conclusion We advocate the use of periosteal graft in the pediatric population as a good alternative
for other types of grafts, with comparable and even better functional and anatomical
outcomes.
Keywords
periosteum - middle ear - myringoplasty - otitis media - outcomes
