Open AccessOutcomes of Cartilage Tympanoplasty in the Pediatric Population
Author(s) -
Friedman Adva B.,
Gluth Michael B.,
Moore Page C.,
Dornhoffer John L.
Publication year - 2013
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 - 10.1177/0194599812470434
Subject(s) - tympanoplasty , medicine , perforation , tympanic membrane perforation , complication , cartilage , surgery , logistic regression , retrospective cohort study , demographics , demography , anatomy , metallurgy , materials science , punching , sociology
Objective To justify the successful use of a patient selection algorithm based on age for primary cartilage tympanoplasty. Study Design Case series with chart review. Setting Tertiary care pediatric hospital. Subjects and Methods We performed a retrospective chart review of patients between ages 4 and 13 years who underwent cartilage tympanoplasty for tympanic membrane perforations from August 2005 to November 2011. Demographics, complication data, and auditory outcomes were collected. Results Patients were subdivided into 3 age groups. Group 1 consisted of patients younger than 7 years (n = 43); group 2, ages 7 to 10 years (n = 40); and group 3, ages 10 to 13 years (n = 36). Mean follow‐up was 595 days (range, 48‐1742). Complication rates respective to the 3 groups were as follows: remnant perforation (6.97%, 5.00%, 2.78%), revision tympanoplasty (2.33%, 2.50%, 0%), and need for tympanostomy tubes (4.65%, 2.50%, 0%). Logistic regression models were used to evaluate complication rates between groups. No significant differences were found (remnant perforation, P =. 710; repeat tympanoplasty, P =. 998; tympanostomy tubes, P =. 875). No significance was found among audiological outcomes between the 3 groups. Conclusion These data suggest cartilage tympanoplasty can be performed effectively in young children when appropriate conditions exist.