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The Boston Children's Hospital Experience

Wayne M. Koch, MD; Ellen M. Friedman, MD; Trevor J. I. McGill, MD; Gerald B. Healy, MD

Arch Otolaryngol Head Neck Surg. 1990;116(1):35-40.

Abstract
• Considerable controversy surrounds the subject of tympanoplasty in children. Conflicting opinions about the indications, patient selection, timing, and technique of surgery are supported by various published series of cases. The records of 64 consecutive tympanoplasty procedures performed at the Boston (Mass) Children's Hospital over a recent 6-year period were reviewed. The study was limited to cases of repair of uncomplicated perforation of pars tensa that did not require ossiculoplasty or mastoidectomy. Surgery was successful in 73% of cases. A number of factors that are postulated to affect the outcome of surgery have been analyzed to assess their utility in selecting successful surgical candidates. Only patient age at the time of surgery was found to have statistical significance. We conclude that tympanoplasty for repair of perforation is warranted for children 8 years of age and older.

(Arch Otolaryngol Head Neck Surg. 1990;116:35-40)

Author Affiliations
From the Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Md (Dr Koch); Boston Children's Hospital and Department of Otology and Laryngology, Harvard Medical School, Boston, Mass (Drs Friedman, McGill, and Healy).

Footnotes
Accepted for publication September 19, 1989.

Presented at the annual meeting of the American Society of Pediatric Otolaryngology, San Diego, Calif, May 20, 1989.

Reprint requests to Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD 21205 (Dr Koch).

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