Pediatric myringoplasty: factors that affect success-a retrospective study. Export

@article{citeulike:2676147, abstract = {OBJECTIVE: To evaluate the impact of patient and graft variables on the successful closure of tympanic membrane perforations treated with myringoplasty at the Children's Hospital of Pittsburgh from 2000 to 2005. STUDY DESIGN: Retrospective chart review at an academic tertiary-care children's hospital. METHODS: Charts were reviewed for 604 children, ages 1 to 18 years old, with complete records who underwent myringoplasty by the pediatric otolaryngology practice at Children's Hospital of Pittsburgh of UPMC from 2000 to 2005, totaling 777 procedures. RESULTS: Significant variables include patient age, number of prior tubes, perforation etiology (P < .000), presence of a retained tube (P < .000) as well as tube type (P = .016), graft material (P = .001), and history of Down syndrome (P = .035). Nonsignificant variables include season of procedure (P = .599), status of adenoid tissue (P = .910), prior otorrhea (P = .175), as well as perforation location (P = .318) and duration (P = .150). CONCLUSIONS: Proper patient and graft material selection can affect the outcome of myringoplasty procedures. Practical implications from these data suggest that Gelfoam myringoplasty is more successful than either paper patch or fat graft closures, with a 90.8\% success rate (P = .001). Myringoplasty should not be deferred during the winter months as the season of procedure does appear to not affect the success of closure (P = .60). Similarly, the presence or absence of adenoid tissue did not affect the success of closure (P = .91).}, address = {Departments of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.; Biostatistics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.}, author = {Sckolnick, Joshua S. and Mantle, Belinda and Li, Jia and Chi, David H.}, citeulike-article-id = {2676147}, citeulike-linkout-0 = {http://dx.doi.org/10.1097/MLG.0b013e31815f8e2f}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/18300712}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=18300712}, citeulike-linkout-3 = {http://www3.interscience.wiley.com/cgi-bin/abstract/121606606/ABSTRACT}, doi = {10.1097/MLG.0b013e31815f8e2f}, issn = {0023-852X}, journal = {The Laryngoscope}, keywords = {myringoplasty, pediatric}, month = {April}, number = {4}, pages = {723--729}, posted-at = {2008-04-16 06:41:56}, priority = {2}, title = {Pediatric myringoplasty: factors that affect success-a retrospective study.}, url = {http://dx.doi.org/10.1097/MLG.0b013e31815f8e2f}, volume = {118}, year = {2008} }

TY - JOUR ID - citeulike:2676147 L3 - citeulike-article-id:2676147 N2 - OBJECTIVE: To evaluate the impact of patient and graft variables on the successful closure of tympanic membrane perforations treated with myringoplasty at the Children's Hospital of Pittsburgh from 2000 to 2005. STUDY DESIGN: Retrospective chart review at an academic tertiary-care children's hospital. METHODS: Charts were reviewed for 604 children, ages 1 to 18 years old, with complete records who underwent myringoplasty by the pediatric otolaryngology practice at Children's Hospital of Pittsburgh of UPMC from 2000 to 2005, totaling 777 procedures. RESULTS: Significant variables include patient age, number of prior tubes, perforation etiology (P < .000), presence of a retained tube (P < .000) as well as tube type (P = .016), graft material (P = .001), and history of Down syndrome (P = .035). Nonsignificant variables include season of procedure (P = .599), status of adenoid tissue (P = .910), prior otorrhea (P = .175), as well as perforation location (P = .318) and duration (P = .150). CONCLUSIONS: Proper patient and graft material selection can affect the outcome of myringoplasty procedures. Practical implications from these data suggest that Gelfoam myringoplasty is more successful than either paper patch or fat graft closures, with a 90.8% success rate (P = .001). Myringoplasty should not be deferred during the winter months as the season of procedure does appear to not affect the success of closure (P = .60). Similarly, the presence or absence of adenoid tissue did not affect the success of closure (P = .91). IS - 4 JF - The Laryngoscope SN - 0023-852X AD - Departments of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.; Biostatistics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A. EP - 729 TI - Pediatric myringoplasty: factors that affect success-a retrospective study. VL - 118 SP - 723 KW - myringoplasty KW - pediatric AU - Sckolnick, Joshua AU - Mantle, Belinda AU - Li, Jia AU - Chi, David PY - 2008/04// UR - http://dx.doi.org/10.1097/MLG.0b013e31815f8e2f ER -