Myringoplastyka u dzieci – czynniki wpływające na wynik leczenia chirurgicznego
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 1
Abstract
Objective. Myringoplasty is successfully performed in children since many years. However still considerable controversy surrounds the subject of proper timing of surgery and other factors influencing the success rate. The aim of this study was to assess the results of myringoplasty in children and to determine which factors influence the postoperative results. Material and methods. Retrospective study of the anatomic and functional results of 82 consecutive myringoplasties performed in children between 1996–2004. Seventy one children (mean age 13 ± 2,9 years, range 6,4–18 years) who had undergone myringoplasty because of central perforation or retraction pocket in the pars tensa were evaluated. All of the children underwent myringoplasy using endaural or post-auricular approach and underlay technique. Temporalis fascia, perichondrim or cartilage were used as a graft material. The results were assessed on the basis of otoscopic and audiometric examination pre and postoperatively. Following factors have been analyzed to assess their influence on the success rate: age, size and site of perforation, status of the operated ear (dry/discharging), status of the contralateral ear. Results. Closure of the perforation was achieved in 91,5% of children. A good anatomic outcome was observed in 87,8%. The Air Bone Gap between 0–20 dB was observed in 95,6% of patients. Age below 10 years was found to significantly affect the results of surgery. The rate of success was lower in cases with pathological process in the contralateral ear but the difference was not statistically significant. Conclusions. Myringoplasty with underlay grafting of the fascia temporalis or perichondrium gives good anatomic and functional results in children. The results are significantly worst in children below 10 years of age. Pathological changes in the contralateral ear influence the risk of an abnormal postoperative tympanic membrane.
Authors and Affiliations
Bożena Skotnicka, Elżbieta Hassmann-Poznańska
Keywords
Related Articles
- EP ID EP51409
- DOI -
- Views 118
- Downloads 0
Severity of dysphonia in patients during first days after iatrogenic injury
<br/><b>Introduction:</b> The most common cause of vocal fold paralysis (VFP) is iatrogenic injury. Patients with symptoms of VFP present to the specialist after a couple of weeks or even months since the onset of sympto...
Zastosowanie rynometrii akustycznej w ocenie przerostu migdałka gardłowego oraz skuteczności zabiegu adenoidectomii
Introduction. Adenoid hypertrophy is a problem of more than 1/3 of children and is the predominant reason of otolaryngology consultations in this population. Diagnosis and surgical qualifi cation are based on physical ex...
Submucosal bipolar radiofrequency therapy for treatment of turbinate hypertrophy
Disturbance of nasal airflow occurs in about 30% of human population. Turbinate hypertrophy is frequently the base of many nasal obturative diseases. The aim of this study was to determine short- term and long term effec...
Znaczenie Karola Gilewskiego (1832–1871) dla polskiej laryngologii
The professional and scientific activities of Karol Gilewski (1832-1871), one of the famous Cracovian physicians, the professor of the Jagellonian University are described first of all. His treatise on laryngofissure and...
Zastosowanie testu VHIT (Videonystagmography Head Impulse Test) w diagnostyce uszkodzeń kanałów półkolistych
Introduction: The aim of that work was to evaluate the usefulness of VHIT (Videonystagmography Head Impulse Test) in the diagnostics of injuries to the semicircular canals. Material and methods: The tests covered 58 pati...