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Otolaryngology: Open Access
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Endoscopic technic of cartilage slinky myringoplasty in pediatric patients

Joint Event on 4th European Otolaryngology-ENT Surgery Conference & 3rd International Conference on Craniofacial Surgery

Yuri Rusetsky, Irina Meytel

National Scientific And Practical Center Of Children's Health, Russia

Posters & Accepted Abstracts: Otolaryngol (Sunnyvale)

Abstract
Introduction: Endoscopic otosurgery develops extremely fast. Development of myringoplasty techniques for work with one hand under the vest of an endoscope is relevant. The present study evaluated the results of the graft success rate and hearing gain of children who underwent endoscopic udernlay 脙聜脗芦slinky脙聜脗禄 myringoplasty due to chronic otitis media.

Material & Methods: The study included 18 pediatric patients aged between 6 and 17, who had endoscopic underlay 脙聜脗芦slinky脙聜脗禄 myringoplasty with the diagnosis of chronic otitis media between September 2017 and September 2018 in ENT department of National Scientific and Practical Center of Children's Health. All patients脙垄脗聙脗聶 demographics, perforation size, and hearing status were examined.

Results: Tympanic membrane perforation was >=4 mm in 5 patients and between 4 and 8 mm in 13 patients. The air-bone gap (ABG) of the patients was 19.4 脙聜脗卤 5.32 dB preoperatively, 8.81 脙聜脗卤 3.03 dB postoperatively second month, 7.92 脙聜脗卤 2.55 dB postoperatively sixth month, and 7.56 脙聜脗卤 2.32 dB postoperatively 12th month. 2 (11.1%) patients had recurrent perforation in the postoperative follow-ups. The average operation time was 17,0 脙聜脗卤7, 6 minutes. Reactive phenomena of the external auditory canal skin were minimal after 7 days. No additional cuts were made.

Conclusions: In children, endoscopic inlay 脙聜脗芦slinky脙聜脗禄 tympanoplasty is a surgical technique with short duration, high graft success, effective hearing reconstruction, and high levels of postoperative patient comfort.
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