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Page 84
Volume 09
Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries
.com
August 15-17, 2019 Rome, Italy
&
3
rd
International Conference on
Craniofacial Surgery
4
th
European Otolaryngology-ENT Surgery Conference
Endoscopic technic of cartilage «slinky» myringoplasty in pediatric patients
Yuri Rusetsky, Irina Meytel
National Scientific And Practical Center Of Children's Health, Russia
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 «slinky» myringoplasty due to chronic otitis
media.
Material &Methods
: The study included 18 pediatric patients aged between 6 and 17, who had endoscopic underlay
«slinky» 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’ 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 ± 5.32 dB preoperatively, 8.81 ± 3.03 dB postoperatively second month,
7.92 ± 2.55 dB postoperatively sixth month, and 7.56 ± 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 ±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 «slinky» tympanoplasty is a surgical technique with short duration, high
graft success, effective hearing reconstruction, and high levels of postoperative patient comfort.
Otolaryngol (Sunnyvale) 2019, Volume 09