Auto Cartilaginous Tympanoplasty for Tympanic Membrane Defects in Pediatric Otorhinolaryngology: Clinical Outcomes and Hearing Improvement

Received: 10.02.2024/Accepted: 28.04.2024/Published online: 29.04.2024
УДК 616.218(053.2)
DOI: 10.53511/pharmkaz.2024.71.87.022

A.Z. Bekpan1, D.K.Autalipov1, O.Tolegen2, Z.S.Tobylbayeva3
1 Clinical Academic Department of Pediatric Surgery, “Head & Neck” Program, Corporate Fund “University Medical Center”,
Astana, Kazakhstan
2Clinical Academic Department of Pediatric Surgery, Corporate Fund “University Medical Center”, Astana, Kazakhstan
3“Pediatric Anesthesiology and Intensive care Unit”, Corporate Fund “University Medical Center”, Astana Kazakhstan

Auto Cartilaginous Tympanoplasty for Tympanic Membrane Defects in Pediatric Otorhinolaryngology:
Clinical Outcomes and Hearing Improvement
Introduction: Chronic otitis media with persistent tympanic membrane perforation remains a challenging issue in pediatric
otology.
Objective: To examine the outcomes of autocartilaginous tympanoplasty in children with total and subtotal tympanic
membrane defects.
Methods and materials: Eighteen patients (age range: 3-15 years) underwent surgical treatment using the retroauricular
approach. A cartilage graft harvested from the tragus and temporal fascia was utilized for tympanic membrane
reconstruction.
Results: Postoperative evaluations revealed successful restoration of tympanic membrane integrity in 88.8% of cases and
hearing improvement in 94.4% of cases in the long-term follow-up. Auto Cartilaginous tympanoplasty demonstrates promise
for enhancing the efficacy of tympanoplasty in pediatric otorhinolaryngology.
Keywords: Auto Cartilaginous tympanoplasty, Pediatric otology, Tympanic membrane defects, Hearing rehabilitation,
Tympanoplasty outcomes.

REFERENCES
1 Shah, U.K. (2023) Chronic middle ear infection in children – children’s health issues, MSD Manual Consumer Version.
Available at: https://www.msdmanuals.com/home/children-s-health-issues/ear-nose-and-throat-disorders-inchildren/chronic-middle-ear-infection-in-children (Accessed: 12 June 2023).
2 Emmett SD, Kokesh J, Kaylie D. Chronic Ear Disease. Med Clin North Am. 2018 Nov;102(6):1063-1079.
3 Baklaci, D., Guler, I., Kuzucu, I., Kum, R. O., & Ozcan, M. (2018a). Type 1 tympanoplasty in pediatric patients: A review of
102 cases. BMC Pediatrics, 18(1). doi:10.1186/s12887-018-1326-1
4 Jones, A. L., et al. (2022). Long-term outcomes of pediatric tympanoplasty: A retrospective study. International Journal of
Pediatric Otorhinolaryngology, 140, 110547.
5 Smith, R. K., et al. (2019). Autograft tympanoplasty for pediatric patients: A retrospective analysis. Ear, Nose, & Throat
Journal, 98(2), 89-95.
6 Thompson, E. J., et al. (2021). Hearing outcomes following pediatric tympanoplasty: A systematic review and metaanalysis. International Journal of Pediatric Otorhinolaryngology, 148, 110877

количество просмотров / 👁 222

Leave a Reply

Your email address will not be published. Required fields are marked *