Role of tympanometric volume in paediatric tympanoplasty. Issue 11 (November 2015)

• Record Type: Journal Article
• Authors: Singh, Gautam Bir; Arora, Rubeena; Garg, Sunil; Ranjan, Shruti; Kumar, Sunil
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 79:Issue 11(2015:Nov.)
• Page Start: 1872
• Page End: 1875
• Publication Date: 2015-11
• Subjects: Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2015.08.027
• Languages: English
• ISSNs: 0165-5876

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Objective</title> <p id="spar0005">To determine the prognostic significance of "Tympaometric Volume" for paediatric tympanoplasty type I in a select age-group of 5–8 years.</p> </sec> <sec> <title id="sect0015">Methods</title> <p id="spar0010">A prospective study was conducted in 30 children with chronic suppurative otitis media-inactive mucosal disease of either sex. Pre-operative tympanometric volume was recorded in all the cases and statistically analysed with the graft uptake results post-operatively. All the patients underwent tympanoplasty type I by underlay technique using temporalis fascia graft. An intact graft at the end of 6 months, and a postoperative hearing improvement of 10 dB or greater in two consecutive frequencies, was regarded as surgical and audiological success, respectively. The statistical analysis was done using Mantel Haenszel <italic>χ</italic><sup>2</sup> i.e. Chi square test, and Fisher exact <italic>p</italic> value test for confirmation.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">We recorded an impressive surgical success rate of 87% and an audiological improvement of 70% in this study. On the basis of mean tympanometric volume of 1.6 cm<sup>3</sup> the patients were divided into two groups: in Group A (tympanometric volume < 1.6 cm<sup>3</sup>), and group B (tympanometric volume > 1.6 cm<sup>3</sup>). A graft uptake of 95% and 77% was recorded in Group A & B, respectively. However, the statistical evaluation of the data revealed no significant effect of this factor.</p> </sec> <sec> <title id="sect0025">Conclusions</title> <p id="spar0020">In this study no correlation between the tympanometric volume and the surgical success of paediatric tympanoplasty in select age group of 5–8 years was observed.</p> </sec> </abstract>