TYMPANOPLASTY IN YOUNG PATIENTS

Abstract

Objective: To know the anatomical and functional out come of tympanoplasty type-1 in patients of 8-14

years of age.

Material and Methods: This retrospective study was conducted in department of ENT & Head & Neck

surgery of Lady Reading Hospital Peshawar over the period of 2000-2004. Hundred patients of different

type of tympanic membrane perforation with no focus of infection in the upper respiratory tract were

included in the study Eighty patients under went under lay technique while 20 patents had overlay or

reverse through technique .

Results: Total number of cases who completed three years followup in study period was hundred. Fourty

five were male and fifty five were female. Successful results with improvement in hearing was observed in

80%; and in 20 % cases 4 cases were rejected during the first postoperative year and 16 cases during the

third postoperative year. The result of underlay technique was 87% as compare to overlay or reverse

through technique i.e. 55 %. The failure of both the techniques in traumatic perforation was equal i.e. 30

%. The results were also good in patients who had adenoidectomy or adenotonsillectomy in past.

Conclusion: Tympanoplasty type 1 in young children gives eighty percent success rate provided there is

no focus of upper respiratory tract infection, and a past history of adenoidectomy or adenotonsillectomy.