Factors related to the surgical outcomes of type I tympanoplasty for tympanic membrane perforation in children

Abstract

Background

Factors related to surgical outcomes of type I tympanoplasty for tympanic membrane (TM) perforation in children are controversial.

Objectives

To investigate factors related to anatomical results of type I tympanoplasty for TM perforation 1 year after surgery.

Material and methods

We examined 68 ears. Anatomical results were determined based on the presence or absence of re-perforation, atelectasis, and otitis media with effusion. We retrospectively analyzed factors based on age (≤8 and >8 years), cause and size of TM perforation (<50% and ≥50%), history of asthma and cleft palate, and size of mastoid air cell system in bilateral ears before tympanoplasty. Audiological prognosis was evaluated in ears with anatomical success 1 year after surgery.

Results

Anatomical success was achieved in 80.9% (55/68) of the ears. No significant differences were observed between these factors and anatomical results. All children with cleft palate had anatomical success. Mean pure-tone average (0.5–4 kHz) was 16.25 dB HL for ears with both TM perforations <50% and ≥50%.

Conclusion and significance

We observed no significant relationship between factors considered and surgical outcomes. However, audiological prognosis was favorable for anatomical success regardless of TM perforation size. Accordingly, type I tympanoplasty is considered useful for TM perforation in children.

Chinese Abstract

背景

确保主观耳鸣患者形成对远程听力学的正面态度。

目的

调查基于互联网的软件对主观耳鸣患者的适用性。

材料和方法

年龄在 19 岁至 59 岁之间的主观耳鸣患者, 填写耳鸣障碍指数量表(THI)和冠状病毒焦虑量表(CAS)。 视觉数字量表(VNS)用于有耳鸣主诉的患者。临床上进行了与听力和耳鸣有关的参数测量。 评估结束后, 54名参与者分为两组, 分别以面对面和网上的方式接受“基础信息资料服务”(BIMS)。随后, 使用 THI 和 VNS 来确定当前状态。

结果

接受 2 种不同的 BIMS 服务方式的组之间没有显著差异 (p > .05)。至于THI 和 VNS, BIMS前后评分有显著差异(p < .05)。 耳鸣持续时间与THI 的变化之间存在很强的负相关关系。 此外, 所咨询的中心数量与量表所揭示的信息效益之间存在较强的负相关关系。

结论与意义

对于耳鸣的管理, 在线干预与面对面互动的有效性是一样的。

Keywords:

• Tympanic membrane perforation
• tympanoplasty
• anatomical result
• eustachian tube dysfunction
• asthma
• cleft palate
• mastoid air cell system

Disclosure statement

No potential conflict of interest was reported by the author(s).