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Results of Tympanoplasty in Children With Primary Ciliary Dyskinesia
Françoise Denoyelle, MD;
Gilles Roger, MD;
Vincent Ducroz, MD;
Estelle Escudier, MD;
Brigitte Fauroux, MD;
Eréa Nöel Garabedian, MD
Arch Otolaryngol Head Neck Surg. 1998;124:177-179.
Objective To assess the results of tympanoplasty in children with primary ciliary dyskinesia complicated by tympanic perforation or cholesteatoma with hearing loss and/or recurrent otorrhea.
Design Retrospective study. Postoperative follow-up of 26.3 months in the type 1 tympanoplasty group and 46 months in the child with cholesteatoma.
Setting Hospitalized care, referral center.
Patients Seven children with primary ciliary dyskinesia, complicated in 6 children by 9 tympanic perforations (3 bilateral perforations) and in 1 child by an attical cholesteatoma.
Results After 9 type 1 tympanoplasties, the grafts were intact in 9 ears, with no recurrence of otorrhea, but serous otitis media was present in 6 of the 9 ears. Auditory improvement was significant, with an average gain of 17-dB hearing level in speech frequencies. After a canal wall-down tympanoplasty with mastoidectomy for attic cholesteatoma in 1 ear, the cavity that was operated on showed no signs of otorrhea or residual cholesteatoma after a follow-up of 46 months.
Conclusion In children with primary ciliary dyskinesia, tympanoplasty has a high probability of graft success and auditory improvement, despite the frequent recurrence of serous otitis media.
From the Departments of Pediatric Otolaryngology and Head and Neck Surgery (Drs Denoyelle, Roger, Ducroz, and Garabedian) and Pediatric Pulmonology (Dr Fauroux), Armand-Trousseau Children's Hospital, and the Department of Embryology and Cytogenetics, Pitié-Salpétrière Hospital (Dr Escudier), Paris, France.
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