Abstract：
UNASSIGNED: Factors related to surgical outcomes of type I tympanoplasty for tympanic membrane (TM) perforation in children are controversial.
UNASSIGNED: To investigate factors related to anatomical results of type I tympanoplasty for TM perforation 1 year after surgery.
UNASSIGNED: 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.
UNASSIGNED: 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%.
UNASSIGNED: 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.
UNASSIGNED: To investigate factors related to anatomical results of type I tympanoplasty for TM perforation 1 year after surgery.
UNASSIGNED: 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.
UNASSIGNED: 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%.
UNASSIGNED: 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.
摘要：
■与儿童鼓膜（TM）穿孔的I型鼓室成形术的手术结果相关的因素存在争议。
■探讨I型鼓室成形术治疗TM穿孔术后1年的解剖学结果相关因素。
■我们检查了68只耳朵。根据是否存在再次穿孔来确定解剖学结果，肺不张,和渗出性中耳炎。我们回顾性分析了基于年龄(≤8岁和>8岁)的因素，TM穿孔的原因和大小(<50%和≥50%),哮喘和腭裂病史，鼓室成形术前双侧耳乳突气囊系统的大小。手术后1年在解剖学上成功评估耳朵的听力学预后。
■在80.9％（55/68）的耳朵中实现了解剖学成功。在这些因素和解剖结果之间没有观察到显着差异。所有腭裂患儿都有解剖学上的成功。对于两个TM穿孔均<50％和≥50％的耳朵，平均纯音平均值（0.5-4kHz）为16.25dBHL。
■我们观察到考虑的因素与手术结果之间没有显着关系。然而,无论TM穿孔大小如何，听力学预后均有利于解剖学成功。因此，I型鼓室成形术被认为对儿童TM穿孔有用。
■探讨I型鼓室成形术治疗TM穿孔术后1年的解剖学结果相关因素。
■我们检查了68只耳朵。根据是否存在再次穿孔来确定解剖学结果，肺不张,和渗出性中耳炎。我们回顾性分析了基于年龄(≤8岁和>8岁)的因素，TM穿孔的原因和大小(<50%和≥50%),哮喘和腭裂病史，鼓室成形术前双侧耳乳突气囊系统的大小。手术后1年在解剖学上成功评估耳朵的听力学预后。
■在80.9％（55/68）的耳朵中实现了解剖学成功。在这些因素和解剖结果之间没有观察到显着差异。所有腭裂患儿都有解剖学上的成功。对于两个TM穿孔均<50％和≥50％的耳朵，平均纯音平均值（0.5-4kHz）为16.25dBHL。
■我们观察到考虑的因素与手术结果之间没有显着关系。然而,无论TM穿孔大小如何，听力学预后均有利于解剖学成功。因此，I型鼓室成形术被认为对儿童TM穿孔有用。
