Clinical study on children operated for chronic otitis media with perforation

DOI 18 References
  • Hara Mariko
    Department of Otolarygology, Saitama Medical Center Jichi Medical University
  • Shinnabe Akihiro
    Department of Otolarygology, Saitama Medical Center Jichi Medical University
  • Kanazawa Hiromi
    Department of Otolarygology, Saitama Medical Center Jichi Medical University
  • Yoshida Naohiro
    Department of Otolarygology, Saitama Medical Center Jichi Medical University
  • Iino Yukiko
    Department of Otolarygology, Saitama Medical Center Jichi Medical University

Bibliographic Information

Other Title
  • 小児慢性穿孔性中耳炎手術施行症例の臨床的検討

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Description

We studied on 59 ears of 51 pediatric patients who underwent surgery for chronic otitis media with perforation in our department. The aims of this study were to analyze the cause of tympanic membrane perforation, presence of tympanosclerosis, and closure rate of perforation. Previous insertion of a ventilation tube was the most common cause of perforation. Although the ventilation tube retention time and the age at tube insertion complied with the recommendation in the literature, all patients underwent surgical treatment. More than half of the patients also developed tympanosclerosis around the edge of the perforation. In such cases, natural closure will not be expected, and surgical treatment will be necessary. The perforation closure late was 91.8% for all cases, 100% for tympanoplasty, and 66.7% for myringoplasty. The success rate was low in patients with bilateral perforation who underwent myringoplasty in both ears on the same day. Children with bilateral chronic otitis media with perforation have a higher susceptibility to upper respiratory tract infection, and they would have the more immature immunity and the more immature Eustachian tube function than children with unilateral perforation. Therefore bilateral same-day surgery must be performed carefully.

Journal

  • Otology Japan

    Otology Japan 23 (2), 85-91, 2013

    Japan Otological Society

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