Open AccessPediatric Myringoplasty
Author(s) -
Takahashi Emiko,
Mishiro Yasuo,
Sakagami Masafumi
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811415823a349
Subject(s) - myringoplasty , medicine , surgery , tympanic membrane perforation , effusion , perforation , atelectasis , adhesion , abscess , cholesteatoma , tympanoplasty , lung , chemistry , punching , materials science , organic chemistry , metallurgy
Objective Investigate “the true success rate” of myringoplasty for pediatric patients. Method This was a retrospective analysis of 72 myringoplasites performed at Hyogo College of Medicine between 2000 and 2009. Success was defined as an intact tympanic membrane (no perforation, no adhesion, no retraction, and no effusion) and preservation of hearing at 1 year after surgery. Results The graft success rate was 85%, similar to adult patients. However, the defined success rate was only 54%. There were 8 cases with graft failure, 3 cases with retraction pocket, 3 cases with OME, 3 cases with pearl formation, 2 cases with adhesion of tympanic membrane, and 2 cases with postoperative abscess needing re‐operation. The success rate was 70% in patients with normal contralateral ear and 37% in patients with diseased contralateral ear (eg, CMO, OME, cholesteatoma, and atelectasis). There was a significant difference concerning the state of the contra‐lateral ear. Conclusion The true success rate of a pediatric myringoplasty seemed to be lower than commonly expected and quoted to parents. The results are similar to other reports using a similar definition of success. We should especially pay attention to myringoplasty for patients with diseased contra‐lateral ears.