Audiological Evaluation of Children below 14 Years Undergoing Tympanoplasty in a Tertiary Teaching Hospital

Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3

Abstract

Introduction: Chronic suppurative otitis media (CSOM) is at a higher incidence in the pediatric population when compared to adults. CSOM results in conductive deafness resulting in difficulty in learning speech skills. Surgical procedures to correct the hearing loss are regarded both by surgeons and parents to give poor results. Selection of children with CSOM developing speech problem and appropriate tympanoplasty in skilled hands will result in post-operative auditory gain. Aims: To study the audiological results in children following tympanoplasty procedures in a tertiary teaching hospital. Materials and Methods: A total of 85 children aged 9-14 years underwent tympanoplasty procedure between October 2015 and April 2017 was included in the study. Post-operative audiological evaluation, perforation closure, factors playing a role in the success rate were recorded and analyzed. Results: Closure of perforation was successful in 92.94% of the children. Graft take failure occurred in 7.05% (6). Auditory gain of 30-35 dB in air conduction (AC) was found in 77.64% (66) and closure of a-b gap 20-30 dB was observed in 82.35% (70). 17.64% (15) children showed AC auditory gain of 20-30 dB, closure of a-b gap of 10-20 dB in 20% (17). No improvement in hearing was found in 4 (4.70%) children. Conclusion: Tympanoplasty improves hearing in children with CSOM if performed properly. As the follow-up in the study is only 14 months, a study with a longer follow-up would suggest a definitive conclusion.

Authors and Affiliations

N Sateesh, Subbarayudu Yarlagadda

Keywords

Related Articles

Study of Intraurethral Instillation of Tacrolimus for Urethral Involvement Following Lichen Sclerosus

Introduction: Lichen sclerosus (LS) is a lymphocyte-mediated inflammatory process that in men affects the genital skin and also the urethra, causing urethral stricture. Formerly known as balanitis xerotica obliterans, LS...

Punch Skin Graft in Stable Vitiligo: Donor and Recipient Site Changes - A Retrospective Study

Introduction: Punch skin graft procedure in the treatment of stable vitiligo is a simple and best office procedure. Aim of the Study: The aim of the study was to evaluate the donor and recipient site changes occurred dur...

Analytical Study of Occult Spinal Dysraphism - Its Varied Presentations, Management and Outcome in South Indian Population

Abstract Introduction: Occult spinal dysraphism (OSD) represents a subset of spinal dysraphism in which the congenital defects are covered by intact skin. The risk of neurologic deterioration exists at all ages and incre...

Comparing Efficacy of Plain Bupivacaine, Bupivacaine with Fentanyl, and Bupivacaine with Dexmedetomidine Intrathecally in Lower Abdominal Surgical Procedures: A Double-Blind Randomized Control Study

Introduction: The potentiating effect of short-acting lipophilic opioid fentanyl and a more selective α2 agonist dexmedetomidine is used to reduce the dose requirement of bupivacaine and its adverse effects and also to p...

Patterns of Restricted Diffusion within Corpus Callosum in Neonatal Hypoxic-Ischemic Encephalopathy and its Significance in Predicting the Clinical Outcome

Background: Hypoxic-ischemic encephalopathy (HIE) continues to be a dreadful cause of morbidity and mortality in neonates and is a leading cause of cerebral palsy and other neurodevelopmental deficits. It manifests in di...

Download PDF file
  • EP ID EP468824
  • DOI -
  • Views 85
  • Downloads 0

How To Cite

N Sateesh, Subbarayudu Yarlagadda (2017). Audiological Evaluation of Children below 14 Years Undergoing Tympanoplasty in a Tertiary Teaching Hospital. INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY, 5(3), 125-128. https://europub.co.uk/articles/-A-468824