Long-term results of tympanoplasty for chronic otitis media in children
Journal/Book: Hno. 1996; 44: 175 Fifth Ave, New York, NY 10010. Springer Verlag. 143-147.
Abstract: Controversy continues regarding tympanoplasty for central perforations due to chronic otitis media in children. Between 1972 and 1988, 144 children (160 cases) were operated on for central perforations after chronic otitis media and were managed at the ENT Hospital of the University of the Saarland, Homburg/Saar. Eighty-seven of these children were evaluable for this study. Postoperative follow-up was more than 5 years in 94% of the cases. The tympanic membrane was closed in 90% of the cases at follow-up examination. The age of the patient did not influence the success rate. Social hearing was improved from 49% before operation to 86% after operation and at follow-up. At follow-up, air-bone gaps were closed to within 10 dB in 67% of the cases, within 20 dB for 88% and within 30 dB for 96%. These very good and stable results show that an early operation can be recommended for children with chronic otitis media to prevent further damage to the middle ear.
Note: Article SE Feilen, Univ Homburg, Hno Klin & Poliklin, Oscar Orth Str, D-66421 Homburg, Germany
Keyword(s): chronic otitis media; children; central tympanic membrane perforations; tympanoplasty; followup hearing results; MYRINGOPLASTY; SURGERY