Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Objectives: To evaluate the success of pediatric endoscopic and endoscopically assisted transcanal cartilage inlay tympanoplasty. Methods: Retrospective review of single surgeon experience. Results: During a 3 year period, 30 children underwent 31 endoscopic or endoscopically assisted transcanal tym...

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Autores principales:	Glenn Isaacson, Jonathan A. Harounian
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Cartilage graft Endoscopic ear surgery Minimally invasive surgery Otoendoscopy Pediatric tympanoplasty Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b52342175b434305be56f702dff6bca3
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spelling	oai:doaj.org-article:b52342175b434305be56f702dff6bca32021-12-02T12:02:45ZResults of pediatric endoscopic and endoscopically assisted tympanoplasty2095-881110.1016/j.wjorl.2017.09.002https://doaj.org/article/b52342175b434305be56f702dff6bca32017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117300422https://doaj.org/toc/2095-8811Objectives: To evaluate the success of pediatric endoscopic and endoscopically assisted transcanal cartilage inlay tympanoplasty. Methods: Retrospective review of single surgeon experience. Results: During a 3 year period, 30 children underwent 31 endoscopic or endoscopically assisted transcanal tympanoplasties by the senior surgeon using tragal cartilage/perichondrial inlay grafts. There were 22 boys and 8 girls, ranging in age from 3.5 to 17 years (median 6 years). All tragal cartilage grafts (31/31; 100%) survived. Twenty-seven surgeries (27/31; 82%) resulted in an intact drum (17/31; 55%) or a microperforation (10/31; 32%). In four cases (4/31; 13%) significant perforations formed in previously unaffected portions of the drum. Conclusion: Transcanal endoscopic cartilage inlay tympanoplasty offers a practical, minimally invasive approach to tympanoplasty for children of any age. It avoids postauricular or endaural incisions, tympanomeatal flap elevation, and canalplasty. Graft survival is uniform. Microperforation at the graft margins remained in 1/3 of children. Technical modifications may lead to higher rates of tympanic closure.Glenn IsaacsonJonathan A. HarounianKeAi Communications Co., Ltd.articleCartilage graftEndoscopic ear surgeryMinimally invasive surgeryOtoendoscopyPediatric tympanoplastyOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 3, Pp 136-141 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cartilage graft Endoscopic ear surgery Minimally invasive surgery Otoendoscopy Pediatric tympanoplasty Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Cartilage graft Endoscopic ear surgery Minimally invasive surgery Otoendoscopy Pediatric tympanoplasty Otorhinolaryngology RF1-547 Surgery RD1-811 Glenn Isaacson Jonathan A. Harounian Results of pediatric endoscopic and endoscopically assisted tympanoplasty
description	Objectives: To evaluate the success of pediatric endoscopic and endoscopically assisted transcanal cartilage inlay tympanoplasty. Methods: Retrospective review of single surgeon experience. Results: During a 3 year period, 30 children underwent 31 endoscopic or endoscopically assisted transcanal tympanoplasties by the senior surgeon using tragal cartilage/perichondrial inlay grafts. There were 22 boys and 8 girls, ranging in age from 3.5 to 17 years (median 6 years). All tragal cartilage grafts (31/31; 100%) survived. Twenty-seven surgeries (27/31; 82%) resulted in an intact drum (17/31; 55%) or a microperforation (10/31; 32%). In four cases (4/31; 13%) significant perforations formed in previously unaffected portions of the drum. Conclusion: Transcanal endoscopic cartilage inlay tympanoplasty offers a practical, minimally invasive approach to tympanoplasty for children of any age. It avoids postauricular or endaural incisions, tympanomeatal flap elevation, and canalplasty. Graft survival is uniform. Microperforation at the graft margins remained in 1/3 of children. Technical modifications may lead to higher rates of tympanic closure.
format	article
author	Glenn Isaacson Jonathan A. Harounian
author_facet	Glenn Isaacson Jonathan A. Harounian
author_sort	Glenn Isaacson
title	Results of pediatric endoscopic and endoscopically assisted tympanoplasty
title_short	Results of pediatric endoscopic and endoscopically assisted tympanoplasty
title_full	Results of pediatric endoscopic and endoscopically assisted tympanoplasty
title_fullStr	Results of pediatric endoscopic and endoscopically assisted tympanoplasty
title_full_unstemmed	Results of pediatric endoscopic and endoscopically assisted tympanoplasty
title_sort	results of pediatric endoscopic and endoscopically assisted tympanoplasty
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/b52342175b434305be56f702dff6bca3
work_keys_str_mv	AT glennisaacson resultsofpediatricendoscopicandendoscopicallyassistedtympanoplasty AT jonathanaharounian resultsofpediatricendoscopicandendoscopicallyassistedtympanoplasty
_version_	1718394769084776448

Results of pediatric endoscopic and endoscopically assisted tympanoplasty

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