Indian Journal of Otology

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 28  |  Issue : 4  |  Page : 279--281

Type 1 tympanoplasty with and without mastoidectomy in children


Gustavo Antunes De Almeida, Filipe Correia, João Pimentel, Pedro Escada 
 Western Lisbon Hospital Centre Department of ENT, Egas Moniz Hospital, Portugal, Nova Medical School, Lisbon

Correspondence Address:
Dr. Gustavo Antunes De Almeida
Western Lisbon Hospital Centre Department of ENT, Egas Moniz Hospital, Portugal, Nova Medical School
Lisbon

Objective: Assessment of the surgical benefit in children of a canal wall up mastoidectomy with Tos Type 1 tympanoplasty over Tos Type 1 tympanoplasty alone in patients with chronic suppurative otitis media (CSupOM) with tympanic membrane (TM) perforation. Study Design: Retrospective study. Setting: Tertiary care hospital. Methods: A retrospective chart review of CSupOM patients younger than 18-years old and admitted for elective tympanoplasty between 2010 and 2013 was conducted. Primary cases of patients submitted to Type 1 tympanoplasty (according to Tos classification 1993) were selected and were divided into two groups: tympanoplasty with canal wall up mastoidectomy and tympanoplasty without mastoidectomy. Surgical success was defined as the presence of an intact TM with no disease recurrence after 2 years of follow-up. Results: From a total of 125 ears (88 pediatric patients), 59 were selected according to the inclusion criteria. The mean age of the patients was 12.5 years, with 5.1% being 7 years old or younger, 67.8% between the ages of 8 and 14 years old, and 27.1% from 15 to 18 years old. 67.8% of the patients were boys and 32.2% girls. The overall surgical success rate was 89.8%, with 88.9% in the tympanoplasty group and 90.2% in the tympanoplasty with mastoidectomy group. Audiometric improvement was observed in both groups with a mean gap closure of 14 dB ± 8.4 dB in the tympanoplasty without mastoidectomy group and 12.5 dB ± 9.5 dB in the tympanoplasty with mastoidectomy group. Conclusion: Type 1 tympanoplasty is an effective treatment of CSupOM in children. In these cases, performing mastoidectomy at the time of primary Type 1 tympanoplasty is not associated with improved outcomes.


How to cite this article:
Almeida GA, Correia F, Pimentel J, Escada P. Type 1 tympanoplasty with and without mastoidectomy in children.Indian J Otol 2022;28:279-281


How to cite this URL:
Almeida GA, Correia F, Pimentel J, Escada P. Type 1 tympanoplasty with and without mastoidectomy in children. Indian J Otol [serial online] 2022 [cited 2023 Feb 3 ];28:279-281
Available from: https://www.indianjotol.org/article.asp?issn=0971-7749;year=2022;volume=28;issue=4;spage=279;epage=281;aulast=Almeida;type=0