European annals of otorhinolaryngology, head and neck diseases · 2026
Efficacy of myringoplasty before 6 years of age: A STROBE analysis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Khidichian H, Simon F, Leboulanger N, Couloigner V, Denoyelle F, Loundon N
Аннотация
OBJECTIVE: To report anatomical and functional results and predictive factors for failure of myringoplasty in children under 6 years of age.
MATERIAL AND METHODS: Retrospective study of myringoplasty for tympanic membrane perforation in children under 6 years of age with at least 2 years' follow-up. Anatomic and audiological results were evaluated before surgery, at 6 weeks (short-term), 12 months (medium-term) and 24 months (long-term). Predictive factors for failure were analyzed.
RESULTS: Forty-seven myringoplasties were included, with a mean patient age of 4.7±0.4 years. Thirty-nine received underlay grafts and 8 received inlay grafts. The rate of success (tympanic closure, and no otitis media with effusion, myringitis of tympanic retraction) at 6 weeks was 77%, and 70% at 24 months: 79% for underlay and 25% for inlay techniques (P=0.005). Audiometric thresholds improved significantly, with 96% of patients with air-bone gap≤20dB at 12 months after surgery, compared to 57% before (P=0.002). No risk factors for failure were identified, except use of inlay.
CONCLUSION: Myringoplasty performed before the age of 6 yielded satisfactory anatomic and functional results, comparable to other pediatric series across all age groups. The underlay cartilage graft technique provided the best long-term outcomes.
MATERIAL AND METHODS: Retrospective study of myringoplasty for tympanic membrane perforation in children under 6 years of age with at least 2 years' follow-up. Anatomic and audiological results were evaluated before surgery, at 6 weeks (short-term), 12 months (medium-term) and 24 months (long-term). Predictive factors for failure were analyzed.
RESULTS: Forty-seven myringoplasties were included, with a mean patient age of 4.7±0.4 years. Thirty-nine received underlay grafts and 8 received inlay grafts. The rate of success (tympanic closure, and no otitis media with effusion, myringitis of tympanic retraction) at 6 weeks was 77%, and 70% at 24 months: 79% for underlay and 25% for inlay techniques (P=0.005). Audiometric thresholds improved significantly, with 96% of patients with air-bone gap≤20dB at 12 months after surgery, compared to 57% before (P=0.002). No risk factors for failure were identified, except use of inlay.
CONCLUSION: Myringoplasty performed before the age of 6 yielded satisfactory anatomic and functional results, comparable to other pediatric series across all age groups. The underlay cartilage graft technique provided the best long-term outcomes.