Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2009
Pediatric myringoplasty: does previous adenoidectomy improve the likelihood of perforation closure?
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Charlett Simon D, Knight Lindsay C
Аннотация
OBJECTIVE: To determine whether perforation closure after pediatric myringoplasty is more likely to be achieved in patients who have undergone a previous adenoidectomy and to evaluate the impact of other demographic and clinical parameters on operative success.
STUDY DESIGN: Retrospective case review.
SETTING: : Teaching hospital.
PATIENTS: Children younger than 16 years.
INTERVENTION: Primary or revision myringoplasty undertaken between 1999 and 2007.
MAIN OUTCOME MEASURE: The integrity of the tympanic membrane was assessed by otoscopy or tympanometry during postoperative follow-up. Success was defined as an intact tympanic membrane with no evidence of middle ear disease.
RESULTS: Two hundred thirteen consecutive myringoplasties were performed. Patients' mean age was 12.1 years (range, 4-15 yr) and mean length of follow-up was 16 months (range, 2-99 mo). The overall perforation closure rate was 71.8%. The adenoidectomy group comprised 79 patients (37.1%). Perforation closure was achieved in 79.1% of these patients compared with 67.4% in the nonadenoidectomy group (p = 0.157). Older age (p = 0.032), smaller perforations (p = 0.042), nonanterior perforations (p = 0.022), and operations performed by a consultant (p = 0.047) all resulted in significantly higher rates of perforation closure.
CONCLUSION: This study suggests that adenoidectomy before pediatric myringoplasty may not improve the likelihood of a successful outcome.
STUDY DESIGN: Retrospective case review.
SETTING: : Teaching hospital.
PATIENTS: Children younger than 16 years.
INTERVENTION: Primary or revision myringoplasty undertaken between 1999 and 2007.
MAIN OUTCOME MEASURE: The integrity of the tympanic membrane was assessed by otoscopy or tympanometry during postoperative follow-up. Success was defined as an intact tympanic membrane with no evidence of middle ear disease.
RESULTS: Two hundred thirteen consecutive myringoplasties were performed. Patients' mean age was 12.1 years (range, 4-15 yr) and mean length of follow-up was 16 months (range, 2-99 mo). The overall perforation closure rate was 71.8%. The adenoidectomy group comprised 79 patients (37.1%). Perforation closure was achieved in 79.1% of these patients compared with 67.4% in the nonadenoidectomy group (p = 0.157). Older age (p = 0.032), smaller perforations (p = 0.042), nonanterior perforations (p = 0.022), and operations performed by a consultant (p = 0.047) all resulted in significantly higher rates of perforation closure.
CONCLUSION: This study suggests that adenoidectomy before pediatric myringoplasty may not improve the likelihood of a successful outcome.