Aim. The aim of this paper was to evaluate anatomical andfunctional outcomes 5 years after myringoplasty in childrenaffected by perforated eardrum. To analyze the main differencesin the frequency of postoperative complications betweenpatients under and over 9 years of age.Methods. One hundred and thirty-two children, aged from4 to 15 years, who underwent myringoplasty with or withoutmastoidectomy, were followed for a five-year period aftersurgery. The cohort was divided in two groups: children from4 to 9 years old (G1) and patients older than 9 years (G2);all subjects underwent a pre- and post-operatively clinicalexam and were evaluated through audiometry and impedenzometry.Adenoidectomy, if necessary, was performed threemonths before myringoplasty.Results. Of the total 132 children of our cohort, the 32.58%were from 4 to 9 years old (G1) and the 67.42% were olderthan 9 years (G2). Twenty-five (58.13%) G1 and 2 (2.24%)G2 patients underwent adenoidectomy before myringoplasty(P<0.0001); in 18 (41.86%) G1 and 23 (25.84%) G2 subjectsa mastoidetomy was associated to myringoplasty (P=0.062).The main postoperative complications observed were respectivelyretraction pockets (9.3%) and recurrent seromucousotitis (9.3%) in G1 group and myringosclerosis (4.4%) in G2group. The GAP index (IG) resulted >2 (good-excellent degree)in the 89.36% of G1 and 91% of G2 children (P>0.5).Conclusion. Nevertheless good audiologic outcomes in patientsunder and over 9 years of age, our study evidenceda different percentages of success after myringoplasty inG1 and G2 groups (P=0.0024). Thus, considering the higherpercentage of postoperative complications in children withless than 9 years of age, myringoplasty should be considered cautiously due to the risk of reperforation and/or cholesteatoma.
|Numero di pagine||6|
|Stato di pubblicazione||Published - 2014|
All Science Journal Classification (ASJC) codes