Day-case Truly Scarless Endoscopic Tympanoplasty(TSET) with synthetic tissue graft in pediatric patients over 10 years old

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-07-01 DOI:10.1016/j.ijporl.2025.112451

Petros D. Karkos, George Psillas

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引用次数: 0

Abstract

Background

to evaluate the success of Truly Scarless Endoscopic Tympanoplasty type 1 (TSET) in pediatric patients with the use of synthetic graft.

Methods

prospective study.

Results

during a 6 year period 12 children underwent TSET using four layered tissue graft (Biodesign, Cook medical). This was a strictly endoscopic procedure with an underlay technique. No conversion to microscopic surgery was deemed necessary and no incision outside the ear canal was made, hence the term Truly Scarless Endoscopic Tympanoplasty (TSET) procedure. Operative time ranged from 40 min to 130 min. There were 11 boys and 1 girl aged 11–16 years. All patients were discharged on the same day with no bandage and just a cotton wool in the ear canal. All grafts survived except one who ended with a microperforation (8,3 %) that did not require futher surgery. The failed case was one of a total perforation with was a revision case from another institution and throughout the operation had persistent hypertension and a less than ideal operative field. Follow up of all 12 patients ranged from 12 to 60 months.

Conclusions

TSET using synthetic material is an excellent alternative to classic pediatric tympanoplasty type I, it is painless, patients leave theatre with just a cotton wool in their ear canal, are discharged with no bandage, stitches or scars and is ideal for a day-case procedure. Success rates and graft failures are equivalent to classic ear microsurgery.

查看原文本刊更多论文

真正无瘢痕的内镜鼓室成形术（TSET）与合成组织移植在10岁以上儿童患者中的应用

背景：评估使用合成移植物的儿童患者进行真正无瘢痕内窥镜1型鼓室成形术（TSET）的成功。Methodsprospective研究。结果在6年的时间里，12名儿童接受了四层组织移植（Biodesign, Cook medical）。这是一个严格的内窥镜手术，有基础技术。不需要转到显微镜下手术，也不需要在耳道外切开，因此称为真正无疤痕的内窥镜鼓室成形术（TSET）。手术时间40 ~ 130分钟，男11例，女1例，年龄11 ~ 16岁。所有患者均于当日出院，无需包扎，仅在耳道内放置棉絮。所有的移植物都存活了下来，除了一例不需要进一步手术的微穿孔（8.3%）。失败的病例是一个完全穿孔的病例，是另一个机构的翻修病例，在整个手术过程中有持续的高血压和不理想的手术野。12例患者随访时间为12 ~ 60个月。结论：使用合成材料的stset是经典儿童鼓室成形术I型的绝佳替代方案，无痛，患者离开剧院时只需在耳道内放置一根棉线，出院时无需绷带、缝合或留下疤痕，是理想的日间手术。成功率和移植物失败率与经典的耳部显微手术相当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.