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Titolo:
Pars tensa retraction pockets in children: treatment by excision and ventilation tube insertion
Autore:
Srinivasan, V; Banhegyi, G; OSullivan, G; Sherman, IW;
Indirizzi:
Arrow Pk Hosp, Dept ENT & Head & Neck Surg, Wirral, Merseyside, England Arrow Pk Hosp Wirral Merseyside England urg, Wirral, Merseyside, England
Titolo Testata:
CLINICAL OTOLARYNGOLOGY
fascicolo: 4, volume: 25, anno: 2000,
pagine: 253 - 256
SICI:
0307-7772(200008)25:4<253:PTRPIC>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
TYMPANIC MEMBRANE RETRACTION; SURGICAL-TREATMENT; CHOLESTEATOMA; TYMPANOPLASTY; MANAGEMENT;
Keywords:
tympanic membrane; atelectasis; otitis media with effusion;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Srinivasan, V Univ Hosp Aintree, Dept ENT Head & Neck Surg, Liverpool L9 7AL, Merseyside, England Univ Hosp Aintree Liverpool Merseyside England L9 7AL gland
Citazione:
V. Srinivasan et al., "Pars tensa retraction pockets in children: treatment by excision and ventilation tube insertion", CLIN OTOLAR, 25(4), 2000, pp. 253-256

Abstract

Tympanic membrane retraction pockets involving the pars tensa are not uncommon in clinical practice. Recurrent infections, ossicular erosion and cholesteatoma are the recognized sequelae. The management options include surveillance, medical treatment and surgery. The surgical procedures range from grommet insertion to extensive tympanoplasty procedures. We report our experience with simple excision and grommet insertion, performed in 31 ears in 26 patients as day cases. The follow-up ranged from 8 to 34 months with a mean of 16 months. The procedure was successful in 23 ears (success rate of 74%). Recurrence of retraction occurred in seven ears and in one ear there was a persistent perforation. Age, previous grommet insertion and severity of retraction did not have a statistically significant influence on the final outcome. We conclude that excision and grommet insertion is a simple, safe and efficient procedure for the management of tympanic membrane retraction pockets and can be considered in preference to extensive tympanoplasty.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 12:53:01