Type 1 tympanoplasty in pediatric patients: a review of 102 cases
Yazarlar (5)
Deniz Baklacı
Doç. Dr. İsmail GÜLER Türkiye
Doç. Dr. İhsan Kuzucu Aksaray Üniversitesi, Türkiye
Rauf Oguzhan Kum
Müge Özcan
Sağlık Bilimleri Üniversitesi, Türkiye
Sağlık Bilimleri Üniversitesi, Türkiye
| Makale Türü |
Özgün Makale
(SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
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| Dergi Adı | BMC PEDIATRICS (Q1) | ||
| Dergi ISSN | 1471-2431 Dergi Bilgileri (2018) | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 11-2018 |
| Kabul Tarihi | 25-10-2018 | Yayınlanma Tarihi | 06-11-2018 |
| Cilt / Sayı / Sayfa | 18 / 1 / 1–6 | DOI | 10.1186/s12887-018-1326-1 |
| Makale Linki | https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-018-1326-1 | ||
| UAK Araştırma Alanları |
Kulak Burun Boğaz Hastalıkları
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| Özet |
| The aim of this study was to investigate the success of type 1 tympanoplasty in pediatric patients with chronic otitis media, and to evaluate the prognostic factors that may influence its success. Medical records of 102 children aged between 8 and 18 years (46 female, 56 male) who underwent type 1 tympanoplasty for chronic tympanic membrane perforation between January 2010 and July 2017 were reviewed. Age, gender, condition of contralateral ear (unilateral, bilateral), type (central, marginal) and location of perforation (anterior, posterior, inferior), graft material (fascia, cartilage), pre- and post-operative hearing levels, mean air-bone gap (ABG), surgical approach (postauricular, endaural) and length of follow up were recorded. Anatomical and functional success (ABG < 20 dBHL) rates were 86.3% (88 patients) and 74.5% (76 patients) after a mean follow-up of 32 ± 16.55 months, respectively. The mean hearing improvement was 10.77 ± 10.45 dBHL. The graft success rates were significantly higher in tragal cartilage group (95.1%) than in temporalis fascia group (80.3%) (p = 0.033). Graft success was negatively affected by contralateral perforation (p = 0.003). All patients with bilateral perforations and graft failure were in temporalis fascia group. Age, type and location of perforation and surgical approach did not influence graft success (p > 0.05). Our results showed that type 1 tympanoplasty can be performed effectively in pediatric population regardless of age, location and type of perforation and surgical approach. Bilateral perforations are prone to reperforation, and should be treated with cartilage graft. |
| Anahtar Kelimeler |
| Type 1 tympanoplasty | Children | Prognostic factors | Graft success | Hearing |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| Web of Science | 19 |