S. Suryaprakasa Rao, Bandaru Ramachandra Rao, M. Krishnam Raju Nadimpalli, Narmada Vatti, Nirupama V
BACKGROUND The objectives of the study were 1. To compare different complications of Type 1 Tympanoplasty of children with complications in adults. 2. To determine as to whether performing Type 1 Tympanoplasty is justifiable in children or should we wait until the age of 13 yrs. MATERIALS AND METHODS The study was conducted in Andhra Medical College, Govt. ENT Hospital, Visakhapatnam during October 2016 to March 2018 for a period of 18 months The complications in Type 1 Tympanoplasty for Chronic Suppurative Otitis Media (CSOM) with central perforation in 50 patients aged between 6 to 12, were compared with 50 adult patients aged between 20 to 50. RESULTS In children for type I tympanoplasty, there was a female preponderance with M:F ratio of 1:1.27 (44:56) and in the adult group M:F ratio was 1:1.08 (48:52). The granulation in external auditory canal with 6% in both groups was the most common complication. The residual perforation (6% in children and 4% in adults), medialisation or atelectasis and blunting (4% each in both the groups), injury to chorda tympani and epithelial pearl formation (2% in children and 4% in adult), Lateralisation (2% in both groups) were followed. The least common complication was vertigo (2% in adults). The sensorineural hearing loss, injury to facial nerve, injury to jugular bulb, ossicular dislocation and cholesteatoma were not reported. CONCLUSION Complications of type 1 Tympanoplasty, like residual perforation, external ear granulations, epithelial pearl formation, injury to chorda tympani and atelectasis were found to be almost equal in children and adults. Hence, it is advised to proceed in children aged between 6-12 years for type 1 Tympanoplasty without any hesitation, to give good hearing to acquire knowledge and better academic performance.
