Luca Oscar Redaelli de Zinis1, Nader Nassif2, Diego Zanetti3. 1. Department of Otorhinolaryngology, University of Brescia, Brescia, Italy. 2. Department of Pediatric Otorhinolaryngology, Spedali Civili Brescia, Brescia, Italy. 3. Department of Otorhinolaryngology, University of Milano Bicocca, Monza, Italy.
Abstract
IMPORTANCE: Pars tensa retraction is a frequent condition in chronic otitis media, and there is a large diversity of opinions regarding its management. OBJECTIVE: To report the long-term results and prognostic factors of myringoplasty in pediatric patients with grade 5 pars tensa atelectasis. DESIGN, SETTING, AND PARTICIPANTS: This was an observational, retrospective case review, conducted at a referral university hospital, of children undergoing surgical intervention for dry tympanic disruption after a clinical history of tensa retraction with a transcanal or postauricular approach under general anesthesia. INTERVENTIONS: Underlay myringoplasty with temporalis fascia or tragal perichondrium by transcanal or postauricular approach under general anesthesia. MAIN OUTCOMES AND MEASURES: Anatomical results are reported with a minimum follow-up of 5 years analyzing perforation or retraction of the neotympanum. Age; sex; side, position, and size of the eardrum disruption; surgical approach; graft material; and presence of contralateral disease were correlated with anatomical failure. RESULTS: The population included 33 girls and 28 boys undergoing 65 interventions; the age varied from 4 to 16 years (mean [SD], 10 [3.2] years). An intact tympanic membrane was obtained in 58 cases (89.2%) with a follow-up varying from 5 to 14 years (mean follow-up, 9 years). None of the variables analyzed significantly predisposed patients to tympanic perforation after surgical repair. There were no new progressive retractions. CONCLUSIONS AND RELEVANCE: Tensa retraction resulting in a tympanic disruption can be cured by underlay myringoplasty with perichondrium or temporalis fascia with results similar to those of simple tympanic perforations without recurrent retraction even in the long-term period.
IMPORTANCE: Pars tensa retraction is a frequent condition in chronic otitis media, and there is a large diversity of opinions regarding its management. OBJECTIVE: To report the long-term results and prognostic factors of myringoplasty in pediatric patients with grade 5 pars tensa atelectasis. DESIGN, SETTING, AND PARTICIPANTS: This was an observational, retrospective case review, conducted at a referral university hospital, of children undergoing surgical intervention for dry tympanic disruption after a clinical history of tensa retraction with a transcanal or postauricular approach under general anesthesia. INTERVENTIONS: Underlay myringoplasty with temporalis fascia or tragal perichondrium by transcanal or postauricular approach under general anesthesia. MAIN OUTCOMES AND MEASURES: Anatomical results are reported with a minimum follow-up of 5 years analyzing perforation or retraction of the neotympanum. Age; sex; side, position, and size of the eardrum disruption; surgical approach; graft material; and presence of contralateral disease were correlated with anatomical failure. RESULTS: The population included 33 girls and 28 boys undergoing 65 interventions; the age varied from 4 to 16 years (mean [SD], 10 [3.2] years). An intact tympanic membrane was obtained in 58 cases (89.2%) with a follow-up varying from 5 to 14 years (mean follow-up, 9 years). None of the variables analyzed significantly predisposed patients to tympanic perforation after surgical repair. There were no new progressive retractions. CONCLUSIONS AND RELEVANCE: Tensa retraction resulting in a tympanic disruption can be cured by underlay myringoplasty with perichondrium or temporalis fascia with results similar to those of simple tympanic perforations without recurrent retraction even in the long-term period.