Adolescent Type 1 Cartilage Tympanoplasty: Factors Affecting Surgical Outcome.
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| Title: | Adolescent Type 1 Cartilage Tympanoplasty: Factors Affecting Surgical Outcome. |
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| Authors: | Taylan Cebi, Isil (AUTHOR), Cekic, Erdinc (AUTHOR), Yasar, Husamettin (AUTHOR) |
| Source: | Annals of Otology, Rhinology & Laryngology. Jul2026, Vol. 135 Issue 7, p514-521. 8p. |
| Subjects: | Cartilage transplantation, Ear abnormalities, Tympanic membrane perforation, Auditory perception testing, Otitis media, Ciprofloxacin, Postoperative care, Graft survival, Bone conduction, Sex distribution, Kruskal-Wallis Test, Fisher exact test, Tympanic membrane, Ear, Treatment effectiveness, Retrospective studies, Age distribution, Cholesteatoma, Tertiary care, Descriptive statistics, Ear ossicles, Preoperative care, Mann Whitney U Test, Chi-squared test, Middle ear, Audiometry, Tympanoplasty, Adenoidectomy, Medical records, Acquisition of data, Middle ear ventilation, Analysis of variance, Cephalosporins, Comparative studies, Microscopy, Dexamethasone, Nonparametric statistics, Evaluation, Adolescence |
| Abstract: | Objectives: This study aims to evaluate the success rate of type 1 cartilage tympanoplasty in adolescents and identify the factors influencing surgical outcomes. Materials and methods: The medical records of 70 adolescent patients, who underwent cartilage type 1 tympanoplasty between 2018 and 2023, were reviewed retrospectively. Age, gender, size and type of tympanic membrane perforation, status of the opposite ear, middle ear status, history of previous ventilation tube (VT) insertion and adenoidectomy, preoperative and postoperative hearing levels, anatomical and functional success rates were analyzed. Results: Eighty-four ears of 70 patients were enrolled in the study. Anatomical success was achieved in 83.3% and surgical success was achieved in 67.9% of all ears. Adhesive otitis media, previous VT insertion and the size of perforation were detected to be the most important negative prognostic factors affecting the surgical outcome (P <.001, P =.012 and P =.046, respectively). No correlation between surgical success and risk factors such as age, gender, perforation type or location, status of the opposite ear was detected. Conclusion: Tympanoplasty in adolescent age group has high success rates with correct technique and detail-oriented surgery. Given its impact on outcomes, careful evaluation and potentially staged treatment for adhesive otitis media may enhance the success rate. Cartilage should be the graft material of choice in such patients because of its durability and resistance to retraction. [ABSTRACT FROM AUTHOR] |
| Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objectives: This study aims to evaluate the success rate of type 1 cartilage tympanoplasty in adolescents and identify the factors influencing surgical outcomes. Materials and methods: The medical records of 70 adolescent patients, who underwent cartilage type 1 tympanoplasty between 2018 and 2023, were reviewed retrospectively. Age, gender, size and type of tympanic membrane perforation, status of the opposite ear, middle ear status, history of previous ventilation tube (VT) insertion and adenoidectomy, preoperative and postoperative hearing levels, anatomical and functional success rates were analyzed. Results: Eighty-four ears of 70 patients were enrolled in the study. Anatomical success was achieved in 83.3% and surgical success was achieved in 67.9% of all ears. Adhesive otitis media, previous VT insertion and the size of perforation were detected to be the most important negative prognostic factors affecting the surgical outcome (P <.001, P =.012 and P =.046, respectively). No correlation between surgical success and risk factors such as age, gender, perforation type or location, status of the opposite ear was detected. Conclusion: Tympanoplasty in adolescent age group has high success rates with correct technique and detail-oriented surgery. Given its impact on outcomes, careful evaluation and potentially staged treatment for adhesive otitis media may enhance the success rate. Cartilage should be the graft material of choice in such patients because of its durability and resistance to retraction. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00034894 |
| DOI: | 10.1177/00034894261428816 |
