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Transmeatal excision of pars tensa retraction pockets with simultaneous ventilation tube insertion in children: a prospective study

  • Otology
  • Published:
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Abstract

Grade II and III (according to Sadé’s classification) retraction pockets (RPs) in 40 ears of 30 children were excised transmeatally with simultaneous ventilation tube insertion. At a mean follow-up of 16.1 months, an intact tympanic membrane and mild, grade I retractions not requiring treatment were observed in 32 ears (80%). The mean air-bone gap had decreased from 22.4 to 9.7 dB. Two residual perforations and six recurrent grade II RPs were detected, all these eight ears undergoing further surgery. The second surgery solved both of the residual perforations and four of the six grade II recurrences. The age of the children did not influence the success rate, whereas bilateral pathology, a higher grade and more extensive RPs were associated with a higher rate of unsuccessful cases. A staging system is introduced to ease the selection of candidates with a good prognosis for this procedure.

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Acknowledgments

The authors thank László Pótó (Institute of Bioanalysis, Pécs University, Hungary) for his kind help with the statistical analysis.

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Authors and Affiliations

  1. Pediatric ENT Department, Medical School, Pécs University, Pécs, József A. u. 7, Pécs, 7623, Hungary

    Gábor Ráth

  2. Department of Otorhinolaryngology and Head and Neck Surgery, Medical School, Pécs University, Pécs, Hungary

    Imre Gerlinger & Veronika Gaál

  3. Pediatric ENT Department, Heim Pál Hospital, Budapest, Hungary

    Zsuzsanna Csákányi, Mónika Sultész & Gábor Katona

Authors
  1. Gábor Ráth
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  2. Imre Gerlinger
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  3. Zsuzsanna Csákányi
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  4. Mónika Sultész
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  5. Veronika Gaál
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  6. Gábor Katona
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Correspondence to Gábor Ráth.

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Ráth, G., Gerlinger, I., Csákányi, Z. et al. Transmeatal excision of pars tensa retraction pockets with simultaneous ventilation tube insertion in children: a prospective study. Eur Arch Otorhinolaryngol 268, 1549–1556 (2011). https://doi.org/10.1007/s00405-011-1521-2

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  • DOI: https://doi.org/10.1007/s00405-011-1521-2

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