{Reference Type}: Journal Article
{Title}: Factors related to the surgical outcomes of type I tympanoplasty for tympanic membrane perforation in children.
{Author}: Inoue M;Hirama M;Ogahara N;Takahashi M;Oridate N;
{Journal}: Acta Otolaryngol
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jun 12
{Factor}: 1.698
{DOI}: 10.1080/00016489.2024.2360970
{Abstract}: <B>UNASSIGNED: </B>Factors related to surgical outcomes of type I tympanoplasty for tympanic membrane (TM) perforation in children are controversial.<BR><B>UNASSIGNED: </B>To investigate factors related to anatomical results of type I tympanoplasty for TM perforation 1 year after surgery.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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%.<BR><B>UNASSIGNED: </B>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.