Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches

• Published in: PloS one 2022-03, Vol.17 (3), p.e0265133-e0265133
• Main Authors: Shamshudinov, Timur, Kassym, Laura, Taukeleva, Saule, Sadykov, Bolat, Diab, Hassan, Milkov, Mario
• Format: Article
• Language: English
• Subjects: Adenoid; Adenoidectomy; Adolescent; Anesthesia; Biology and Life Sciences; Child; Child, Preschool; Children; Comparative studies; Complications; Complications and side effects; Consent; Diseases; Ear; Ear diseases; Eardrum; Female; General anesthesia; Hearing; Hospitals; Humans; Hypertrophy; Male; Medicine and Health Sciences; Otitis media; Otitis Media - complications; Otolaryngology; Patient outcomes; Pediatrics; Retrospective Studies; Statistical analysis; Surgery; Surgical outcomes; Tomography; Treatment Outcome; Tympanic membrane; Tympanoplasty - methods
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0265133

The authors sought to compare simultaneous and sequential tympanoplasty and adenoidectomy surgery in pediatric patients. This retrospective single-center study included 65 children (36 males, 29 females; mean age 9.16 ± 3.82 years; range 3-17 years) requiring both tympanoplasty and adenoidectomy. Simultaneous surgeries were performed on the same day, during single general anesthesia, whereas sequential surgeries were separated at least 12 weeks. The groups were compared with regard to restoration of hearing, tympanic membrane status, and utilization of medical resources. All study participants had a 12-months follow-up period after surgery. No statistically significant differences were observed between the groups regarding pre- and post-operative ABG values and average hearing gains. However, the post-operative ABG was significantly lower than the pre-operative ABG in both groups (p0.355). Simultaneous tympanoplasty and adenoidectomy surgery management is associated with a significantly decreased cumulative hospital stay, cumulative operating room time, and cumulative pure surgical time (all p≤0.016). The results of first comparative study of simultaneous versus sequential tympanoplasty and adenoidectomy surgery managements demonstrate no advantages for the sequential approach. The same-day surgery can show the clinical outcomes comparable to those in the sequential group. The simultaneous surgery approach appears to be associated with reduced medical resources consumption. Therefore, simultaneous surgery management is an effective and safe option for children with chronic otitis media and adenoid hypertrophy.