Surgical rehabilitation of hearing in children with chronic suppurative otitis media.

Abstract

BACKGROUND: Tympanoplasty is mainly indicated for the surgical debridement of the middle ear and the creation of a closed tympanic cavity and a mobile and functional sound transmission system.

AIM: This study aimed to analyze the state of hearing according to pure tone threshold audiometry before and after hearing-improving operations in children.

MATERIALS AND METHODS: This study analyzed the hearing state according to pure tone threshold audiometry data before and after tympanoplasty in 65 children aged 5–17 years. Hearing status was assessed before surgery and on 18–21 days and 6–12 months after surgery. The patients underwent tympanoplasty types I, II, and III according to H. Wullstein. To close the tympanic membrane defect, restore the lateral wall of the attic, and replenish the elements of the chain of auditory ossicles, the following materials were used: perichondrium of the tragus and auricle, cartilage of the tragus and auricle, perichondrial–cartilaginous flaps, and periosteum.

RESULTS: In this study, patients’ satisfaction rates of the anatomical and functional results of tympanoplasty were 86% and 78%, respectively.

CONCLUSIONS: Cartilaginous ossiculoplasty was performed on the head of stapes and oval window, and a perichondrial–cartilaginous flap was used to form the tympanic membrane. This method was effective in creating a sound-conducting system of the middle ear in children.

Keywords

tympanoplasty in children / tympanoplasty / hearing-improving operations / children

References

[1] Vlasova GV, Karimov ASh. Features of surgical findings in tympanoplasty in children. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2022;28(4):32–37. EDN: GFPQNQ doi: 10.33848/foliorl23103825-2022-28-4-32-37

[2] Власова Г.В., Каримов А.Ш. Особенности операционных находок при выполнении тимпанопластик у детей // Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2022. Т. 28, № 4. С. 32–37. EDN: GFPQNQ doi: 10.33848/foliorl23103825-2022-28-4-32-37

[3] Lyulko VK, Marchenko VM. Atlas of ear operations. Kiev: Zdorov’ya; 1989. 216 p. (In Russ.)

[4] Люлько В.К., Марченко В.М. Атлас операций на ухе. Киев: Здоровья, 1989. 216 с.

[5] Neudert M, Zahnert T. Tympanoplasty – news and new perspectives. Laryngorhinootologie. 2017;96(S01):S66–S83. (In German) doi: 10.1055/s-0042-120048

[6] Neudert M., Zahnert T. Tympanoplasty – news and new perspectives // Laryngorhinootologie. 2017. Vol. 96, N S01. P. S66–S83. (In German) doi: 10.1055/s-0042-120048

[7] Preciado DA, Levine SC. A review of type 3 tympanoplasty. Otolaryngol Clin North Am. 1999;32(3):401–411. doi: 10.1016/s0030-6665(05)70142-0

[8] Preciado D.A., Levine S.C. A review of type 3 tympanoplasty // Otolaryngol Clin North Am. 1999. Vol. 32, N 3. P. 401–411. doi: 10.1016/s0030-6665(05)70142-0

[9] Velepic M, Starcevic R, Ticac R, et al. Cartilage palisade tympanoplasty in children and adults: long term results. Int J Pediatr Otorhinolaryngol. 2012;76(5):663–666. doi: 10.1016/j.ijporl.2012.01.036

[10] Velepic M., Starcevic R., Ticac R., et al. Cartilage palisade tympanoplasty in children and adults: Long-term results // Int J Pediatr Otorhinolaryngol. 2012. Vol. 76, N 5. P. 663–666. doi: 10.1016/j.ijporl.2012.01.036

[11] Sarkar S, Roychoudhury A, Roychaudhuri BK. Tympanoplasty in children. Eur Arch Otorhinolaryngol. 2009;266(5):627–633. doi: 10.1007/s00405-008-0908-1

[12] Sarkar S., Roychoudhury A., Roychaudhuri B.K. Tympanoplasty in children // Eur Arch Otorhinolaryngol. 2009. Vol. 266, N 5. P. 627–633. doi: 10.1007/s00405-008-0908-1

[13] Verma N, Goyal A, Gupta N. Hearing outcomes in pediatric tympanoplasty and factors affecting surgical outcomes in the current era. Int J Pediatr Otorhinolaryngol. 2023;171:111634. doi: 10.1016/j.ijporl.2023.111634

[14] Verma N., Goyal A., Gupta N. Hearing outcomes in pediatric tympanoplasty and factors affecting surgical outcomes in the current era // Int J Pediatr Otorhinolaryngol. 2023. Vol. 171. P. 111634. doi: 10.1016/j.ijporl.2023.111634

[15] Simon F, Thierry B, Rabeony T, et al. Long-term outcomes of cartilage tympanoplasty in 139 ears in children. Clin Otolaryngol. 2021;46(6):1395–1399. doi: 10.1111/coa.13801

[16] Simon F., Thierry B., Rabeony T., et al. Long-term outcomes of cartilage tympanoplasty in 139 ears in children // Clin Otolaryngol. 2021. Vol. 46, N 6. P. 1395–1399. doi: 10.1111/coa.13801

[17] Ribeiro JC, Rui C, Natercia S, et al. Tympanoplasty in children: a review of 91 cases. Auris Nasus Larynx. 2011;38(1):21–25. doi: 10.1016/j.anl.2010.05.004

[18] Ribeiro J.C., Rui C., Natercia S., et al. Tympanoplasty in children: a review of 91 cases // Auris Nasus Larynx. 2011. Vol. 38, N 1. P. 21–25. doi: 10.1016/j.anl.2010.05.004

[19] Shamshudinov T, Kassym L, Taukeleva S, et al. Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches. PLoS One. 2022;17(3):e0265133. doi: 10.1371/journal.pone.0265133

[20] Shamshudinov T., Kassym L., Taukeleva S., et al. Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches // PLoS One. 2022. Vol. 17, N 3. P. e0265133. doi: 10.1371/journal.pone.0265133

[21] Zwierz A, Haber K, Sinkiewicz A, et al. The significance of selected prognostic factors in pediatric tympanoplasty. Eur Arch Otorhinolaryngol. 2019;276(2):323–333. doi: 10.1007/s00405-018-5193-z

[22] Zwierz A., Haber K., Sinkiewicz A., et al. The significance of selected prognostic factors in pediatric tympanoplasty // Eur Arch Otorhinolaryngol. 2019. Vol. 276, N 2. P. 323–333. doi: 10.1007/s00405-018-5193-z

[23] Riss JC, Roman S, Morredu E, et al. Butterfly-cartilage tympanoplasty in children: a 28-case series and literature review. Eur Ann Otorhinolaryngol Head Neck Dis. 2016;133(3):179–182. doi: 10.1016/j.anorl.2016.02.004

[24] Riss J.C., Roman S., Morredu E., et al. Butterfly-cartilage tympanoplasty in children: a 28-case series and literature review // Eur Ann Otorhinolaryngol Head Neck Dis. 2016. Vol. 133, N 3. P. 179–182. doi: 10.1016/j.anorl.2016.02.004

[25] Gün T, Boztepe OF, Atan D, et al. A comparison of cartilage palisades and temporal fascia in type 1 tympanoplasty for bilateral tympanic membrane perforations in children. J Int Adv Otol. 2017;13(1):36–39. doi: 10.5152/iao.2016.1855

[26] Gün T., Boztepe O.F., Atan D., et al. A comparison of cartilage palisades and temporal fascia in type 1 tympanoplasty for bilateral tympanic membrane perforations in children // J Int Adv Otol. 2017. Vol. 13, N 1. P. 36–39. doi: 10.5152/iao.2016.1855

[27] Albirmawy OA. Comparison between cartilage-perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children. J Laryngol Otol. 2010;124(9):967–974. doi: 10.1017/S0022215110000885

[28] Albirmawy O.A. Comparison between cartilage-perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children // J Laryngol Otol. 2010. Vol. 124, N 9. P. 967–974. doi: 10.1017/S0022215110000885

[29] Ozbek C, Ciftçi O, Tuna EE, et al. A comparison of cartilage palisades and fascia in type 1 tympanoplasty in children: anatomic and functional results. Otol Neurotol. 2008;29(5):679–683. doi: 10.1097/MAO.0b013e31817dad57

[30] Ozbek C., Ciftçi O., Tuna E.E., et al. A comparison of cartilage palisades and fascia in type 1 tympanoplasty in children: anatomic and functional results // Otol Neurotol. 2008. Vol. 29, N 5. P. 679–683. doi: 10.1097/MAO.0b013e31817dad57

[31] Nevoux J, Roger G, Chauvin P, et al. Cartilage shield tympanoplasty in children: review of 268 consecutive cases. Arch Otolaryngol Head Neck Surg. 2011;137(1):24–29. doi: 10.1001/archoto.2010.229

[32] Nevoux J., Roger G., Chauvin P., et al. Cartilage shield tympanoplasty in children: review of 268 consecutive cases // Arch Otolaryngol Head Neck Surg. 2011. Vol. 137, N 1. P. 24–29. doi: 10.1001/archoto.2010.229

[33] Attallah MS. Tympanoplasty in children – our experience in Riyadh, Saudi Arabia. Otolaryngol Pol. 1994;48(5):441–444.

[34] Attallah M.S. Tympanoplasty in children – our experience in Riyadh, Saudi Arabia // Otolaryngol Pol. 1994. Vol. 48, N 5. P. 441–444.

[35] Hardman J, Muzaffar J, Nankivell P, Coulson C. Tympanoplasty for chronic tympanic membrane perforation in children: systematic review and meta-analysis. Otol Neurotol. 2015;36(5):796–804. doi: 10.1097/MAO.0000000000000767

[36] Hardman J., Muzaffar J., Nankivell P., Coulson C. Tympanoplasty for chronic tympanic membrane perforation in children: systematic review and meta-analysis // Otol Neurotol. 2015. Vol. 36, N 5. P. 796–804. doi: 10.1097/MAO.0000000000000767

[37] Baklaci D, Guler I, Kuzucu I, et al. Type 1 tympanoplasty in pediatric patients: a review of 102 cases. BMC Pediatr. 2018;18(1):345. doi: 10.1186/s12887-018-1326-1

[38] Baklaci D., Guler I., Kuzucu I., et al. Type 1 tympanoplasty in pediatric patients: a review of 102 cases // BMC Pediatr. 2018. Vol. 18, N 1. P. 345. doi: 10.1186/s12887-018-1326-1

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