A Clinical Study of Complications of Tympanoplasty in Children
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
AIM : To identify the post operative complications in children so that we can take measures to improve the surgical technique and post op care. MATERIALS AND METHODS The study was conducted in Government ENT Hospital of Andhra Medical College, Visakhapatnam from April 2016 to March 2018 ,for a period of two years. We have selected children between 6 to 12 years of age for this study. Pre opertive examination was done in all, for ear, nose and throat specially for adenoiditis, tonsillitis, any gross deviated nasal septum and allergic rhinitis. Ear was examined including pinna for type of perforation, any granulations and polyps and ossicular chain. Tuning fork test and Pure tone audiometry were also done . Under general anaesthesia,, in postaural approach with Temporalis fascia, Tympanoplasty and mastoidectomy were performed. OBSERVATION In this group, males(32) to females(18) ratio is 1.77:1. Rare complications like Facial palsy, vertigo, Sensorineural hearing loss, ossicular disruption and lateralization of graft were not encountered post operatively. The recurrent perforation was seen in 6% .Infection of the post aural incision was found in 6%. Injury to chorda tympani in 4%.Post op granulation at the site of incision and over tympanic membrane were observed in 4%. otitis externa in 4%, Medialisation in 2%, epithelial pearl in 2%, Post op Cholesteotoma were observed in 2% patients. CONCLUSION In our study, males and females ratio was 1.77:1.The recurrent perforation was seen in 6% . Post aural incision Infection in 6%.Injury to chorda tympani, otitis externa and Post op granulation were seen with each 4% . Medialisation or atelectasis, epithelial pearl and Post op Cholesteotoma was observed with each 2%.This encourages to consider Tympanoplasty in children as hearing is essential at the age of learning curve
Authors and Affiliations
Dr. N. Veeraswamy, Dr. S. Surya prakasa Rao, Dr. T. Leela Prasad, Dr. Rima Joseph
Keywords
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- EP ID EP409188
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