Type 1 tympanoplasty in pediatric patients: Comparison of fascia and perichondrium grafts

• Published in: International journal of pediatric otorhinolaryngology 2019-06, Vol.121, p.95-98
• Main Authors: Çayir, Serkan, Kayabaşi, Serkan
• Format: Article
• Language: English
• Subjects: Functional outcomes; Graft success rate; Type 1 tympanoplasty
• ISSN: 0165-5876; 1872-8464
• DOI: 10.1016/j.ijporl.2019.03.007

The timing of tympanoplasty in the pediatric age group is an ongoing debate. The purpose of this study was to analyze and compare the success of grafts in type 1 tympanoplasty in pediatric patients, and to evaluate the prognostic factors that may affect its success. A retrospective study of 42 pediatric patients who were younger than 18 years and underwent a primary type 1 tympanoplasty using tragal cartilage perichondrium and temporalis fascia from January 2013 to December 2018, were evaluated. A total of 42 medical records of children aged between 8 and 18 years (20 female, 22 male) were reviewed. Age, gender, co-morbidities, perforation size and location, type (central, marginal), pre- and post-operative hearing levels, mean air-bone gap (ABG), graft material (fascia, perichondrium), length of follow up and surgical outcomes were collected. The overall graft success rate was 83.3% (out of 35 patients). The graft success rate was significantly higher 95.2% (20/21) for the perichondrium group compared with 71.4% (15/21) for the temporal fascia group(p = 0.023). The functional success rate (postoperative air–bone gap