A. Siva Kumar
BACKGROUND Tympanoplasty is a common procedure done in adults for the treatment of chronic suppurative otitis media (CSOM) but less commonly done in children. There are different views expressed in the literature regarding indications, inclusion criteria and factors controlling the final surgical outcome. The aim of this study is to analyse the preoperative status, otological, audiological status and final surgical outcome of children undergoing Myringoplasty. MATERIALS AND METHODS Fifty two children aged between 8 and 17 years with CSOM tubotympanic type were included and otoscopy, audiometry done to evaluate the preoperative status. All the children were excluded for adenotonsillitis, sinus pathology and allergic diseases. All the children were subjected to Myringoplasty. Two years followup done and audiological and surgical uptake of graft evaluated and analysed. RESULTS Males were 34 (65.38%) and females were 18 (34.62%) with a male to female ratio of 2.88. The mean age was 14.2±2.4. There was large central perforation in 71.15% and medium 15.38% of children. There was 40 dB in 88.46% children. The surgical outcome was 92% success in 8 to 12 years age and 97% in 13 to 17 years age. CONCLUSIONS Tympanoplasty type 1 (Myringoplasty) when performed in properly selected cases with indications of hearing loss is a valid surgical procedure in treating CSOM or traumatic perforation.
