Early Intervention of Pars Tensa Retraction Pockets in Children by Cartilage Reinforced Tympanoplasty
Year: 1970
Type: article
Abstract: Posterosuperior retraction pockets involving pars tensa of a tympanic membrane is not an uncommonproblem particularly in pediatric population. This occurs as a sequelae of chronic otitis media with effusion.The management options include “wait and watch,” medical treatment and surgery. But in patients inwhom retraction is severe and seems to be irreversible the treatment should be surgery at the earliest. Weperformed cartilage reinforced tympanoplasty in 29 ears of 28 children who had grade III and IVposterosuperior retraction pockets of the pars tensa. Their average pre-operative hearing loss was 16.6 and19.4dB for grade III and IV retraction pockets respectively with 10 and 12.4dB post operative gain. Norecurrences were noted except few minor complications. We suggest that such procedures are safe andshould be performed at the earliest rather than to keep under surveillance and medical treatment only.Key Words: Pars tensa retraction pockets, Tympanic membrane atelectasis, atelectatic ear, Tympanoplasty.
DOI: 10.31729/jnma.429
Authors: Toran KC, S Shrestha, P K Kafle
Institution: Kathmandu Medical College Teaching Hospital
Language: English
Topic: Ear Surgery and Otitis Media
Subfield: Otorhinolaryngology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2179588554