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Pediatric Tympanoplasty and the Role of Preoperative Eustachian Tube Evaluation
Arch Otolaryngol Head Neck Surg. 2000;126:1039-1041.
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Hypothesis
Pediatric tympanic membrane perforations can be successfully repaired if the child can taste otologic drops instilled in the ear canal.
Figure appears in full text version.
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BACKGROUND
The optimal timing for repair of a clean and dry tympanic membrane perforation in the pediatric patient remains an issue of concern and controversy. Although a particular "ideal age" for tympanoplasty has not been uniformly identified, it seems clear that one can expect a greater degree of success with advancing age of the patient.1
Although the definition of success varies, a healed tympanic membrane and a 6-month postoperative interval free of effusion are frequently cited in defining tympanoplasty success. Causes of failure in the pediatric population are often attributed to immature eustachian tube function or eustachian tube dysfunction. It is therefore logical that many surgeons have used tests of eustachian tube function preoperatively to predict success in tympanoplasty. They have also used these techniques as research . . . [Full Text of this Article]
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