PMID- 25548893
OWN - NLM
STAT- MEDLINE
DCOM- 20150804
LR  - 20221207
IS  - 1537-4505 (Electronic)
IS  - 1531-7129 (Linking)
VI  - 36
IP  - 3
DP  - 2015 Mar
TI  - Pediatric cartilage tympanoplasty with primary intubation.
PG  - 453-6
LID - 10.1097/MAO.0000000000000694 [doi]
AB  - OBJECTIVES/HYPOTHESIS: The purpose of this study was to analyze the anatomical 
      and audiologic results in pediatric Type I cartilage tympanoplasties with primary 
      intubation. Our hypothesis was that the outcome of patients with tubes placed 
      would be similar to those without tubes, even though the ears that received tubes 
      were in worse condition. STUDY DESIGN: Retrospective chart review of patients 
      undergoing cartilage tympanoplasty with intubation between 2007 and 2012. 
      METHODS: All surgeries were performed or supervised by the senior author as the 
      surgeon, using a modification of the perichondrium/cartilage island flap. All 
      patients had a tube placed through the cartilage to allow for middle ear 
      aeration. Hearing results were reported using a four-frequency (500, 1,000, 
      2,000, 3,000 Hz) pure-tone average and a pure-tone average air-bone gap 
      (PTA-ABG). Postoperative complications were recorded. RESULTS: During the study 
      period, cartilage with intubation was used for tympanic membrane reconstruction 
      in 20 patients. Of these, 10 (50.0%) had craniofacial abnormalities, and the 
      remainder had documented Eustachian tube dysfunction with mucoid effusion present 
      at the time of surgery. The average patient age was 8 years, and the average 
      follow-up was 39 months. The average pre- and postoperative PTA-ABGs were 25.1 +/- 
      11.2 dB (standard deviation, SD) and 15.1 +/- 10.2 dB (p < 0.05), respectively, and 
      the average pre- and postoperative PTAs were 36.6 +/- 12.4 and 24.9 +/- 12.0 dB (p < 
      0.05), respectively. Only one case had to undergo revision, which was a result of 
      a cholesteatoma. Of the 20 patients, 15 still had patent tubes at last follow-up, 
      three had their tubes removed, and two had tube extrusion. CONCLUSIONS: Cartilage 
      tympanoplasty with intubation achieves good anatomical and audiologic results 
      when Eustachian tube dysfunction or craniofacial abnormalities are present. 
      Significant hearing improvement was realized in a patient population that is 
      characteristically more prone to problems.
FAU - Russell, James S
AU  - Russell JS
AD  - *University of Arkansas for Medical Sciences, Little Rock; daggerDepartment of 
      Otolaryngology/Head and Neck Surgery, University of Arkansas for Medical 
      Sciences, Little Rock; and double daggerArkansas Children's Hospital, Little Rock, Arkansas, 
      U.S.A.
FAU - Cox, Matthew D
AU  - Cox MD
FAU - Anderson, Shane R
AU  - Anderson SR
FAU - Dornhoffer, John L
AU  - Dornhoffer JL
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Otol Neurotol
JT  - Otology & neurotology : official publication of the American Otological Society, 
      American Neurotology Society [and] European Academy of Otology and Neurotology
JID - 100961504
SB  - IM
MH  - Cartilage/*surgery
MH  - Child
MH  - Ear Diseases/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Postoperative Period
MH  - Plastic Surgery Procedures/methods
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Tympanic Membrane/*surgery
MH  - Tympanoplasty/*methods
EDAT- 2014/12/31 06:00
MHDA- 2015/08/05 06:00
CRDT- 2014/12/31 06:00
PHST- 2014/12/31 06:00 [entrez]
PHST- 2014/12/31 06:00 [pubmed]
PHST- 2015/08/05 06:00 [medline]
AID - 10.1097/MAO.0000000000000694 [doi]
PST - ppublish
SO  - Otol Neurotol. 2015 Mar;36(3):453-6. doi: 10.1097/MAO.0000000000000694.