부산대학교 도서관

During the procedure, the middle ear mucosa was inflammatory (abnormal mucosa or otorrhoea) in 45 ears (33%) and glue in the middle ear was found in nine ears (7%). Tympanoplasty for tympanic perforation in children requires prolonged yearly follow-up Tympanic perforation closure definition of success should not only include anatomical closure but also hearing results and absence of complications such as myringitis No clear trend was found between age at surgery and tympanic closure success rate Results at one-year follow-up may not be stable in the child, as in the 66 ears which also had a three-year follow-up, one in ten successful procedures at one-year became unsuccessful (reperforation, myringitis, etc) Myringitis is the main complication at one and three-year follow-up, occurring in 5%-9% of cases INTRODUCTION In paediatric tympanic membrane perforation surgery, the importance of craniofacial anomalies, clinical evidence of persisting middle ear disease and especially age at surgery remains debated in the literature.1-7 The tympanic closure rate at 12 months follow-up or less does not seem sufficient to assess the success of the procedure in paediatric patients, due to frequent otitis media with effusion (OME) or postoperative retraction pockets or cholesteatoma.2,4,6,8 Long-term success rate should include these issues as well as audiometric results.8 The aims of the study were to determine the 3-year prognosis and factors that could influence the audiometric and functional results of cartilage tympanoplasty in children for tympanic membrane perforation. The size of the perforation was available for 109 ears (78%): pinpoint size one ear (1%), up to a quarter of the eardrum's surface in 34 ears (31%), up to half of the eardrum in 38 ears (35%) and more than half of the surface to total in 36 (33%). [Extracted from the article]