Uyar Yavuz, Keleş Bahar, Koç Sema, Oztürk Kayhan, Arbağ Hamdi
Department of Otorhinolaryngology, Meram Medical Faculty, Selçuk University, Konya, Turkey.
Int J Pediatr Otorhinolaryngol. 2006 Oct;70(10):1805-9. doi: 10.1016/j.ijporl.2006.06.007. Epub 2006 Aug 9.
The aim of this study is to analyze the clinical features and follow-up of a series of pediatric patients with chronic otitis media undergoing tymponaplasty surgery and to identify the effect of the factors on the course.
Forty-one children (mean age 15.1+/-2.62 years, range from 8 to 16 years) who had undergone tympanoplasty with or without ossicular reconstruction were evaluated. Age, gender, size and site of perforation, status of operated ear (dry/discharging), status of the contralateral ear, underlying cause of the perforations, surgical technique, preoperative and postoperative hearing levels, average postoperative follow-up time, and postoperative complications were recorded.
Myringoplasty in 28 patients (68.3%), incus interposition in 7 patients (17.1%), partial ossicular replacement prostheses in 4 patients (9.7%) and total ossicular replacement prostheses in 2 patients (4.9%) were performed. In the 37 (90.2%) of patients, intact graft was determined during postoperative follow-up. Surgical success including intact graft and postoperative air-bone gap of less than 25 dB were obtained in 34 (82.9%) cases.
The present study suggested that tympanoplasty was a quite successful method in the appropriate pediatric patients between the ages of 8 and 16 years. In the preoperative evaluation for surgery success, some factors, such as dry middle ear, healthy contralateral ear and concordant to postoperative care should be considered.
本研究旨在分析一系列接受鼓室成形术的小儿慢性中耳炎患者的临床特征及随访情况，并确定相关因素对病程的影响。
对41例接受鼓室成形术（伴或不伴听骨链重建）的儿童进行评估。记录年龄、性别、穿孔大小和部位、患耳状况（干耳/流脓）、对侧耳状况、穿孔的潜在病因、手术技术、术前和术后听力水平、术后平均随访时间以及术后并发症。
28例（68.3%）患者行鼓膜成形术，7例（17.1%）患者行砧骨植入术，4例（9.7%）患者行部分听骨链赝复物植入术，2例（4.9%）患者行全听骨链赝复物植入术。37例（90.2%）患者在术后随访期间移植物完整。34例（82.9%）患者手术成功，包括移植物完整且术后气骨导差小于25dB。
本研究表明，鼓室成形术对于8至16岁的合适小儿患者是一种相当成功的方法。在术前评估手术成功率时，应考虑一些因素，如中耳干燥、对侧耳健康以及术后护理配合情况。
