Results of tympanoplasty in children with primary ciliary dyskinesia.

Abstract

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.

• Authors: F Denoyelle, G Roger, V Ducroz, E Escudier, B Fauroux, E N Garabedian
• Journal: Archives of otolaryngology--head & neck surgery (Arch Otolaryngol Head Neck Surg) Vol. 124 Issue 2 Pg. 177-9 (Feb 1998) ISSN: 0886-4470 [Print] United States
• PMID: 9485109 (Publication Type: Journal Article)

Topics

• Adolescent
• Child
• Cholesteatoma (complications, surgery)
• Chronic Disease
• Ciliary Motility Disorders (complications, surgery)
• Female
• Follow-Up Studies
• Hearing Disorders (complications)
• Humans
• Male
• Otitis Media with Effusion (complications, surgery)
• Recurrence
• Retrospective Studies
• Treatment Outcome
• Tympanic Membrane Perforation (complications, surgery)
• Tympanoplasty