TYMPANOPLASTY AND ADENOIDECTOMY IN CHILDREN: COMPARISON OF SIMULTANEOUS AND SEQUENTIAL APPROACHES
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Date
2022-03-10
Authors
Shamshudinov, Timur
Kassym, Laura
Taukeleva, Saule
Sadykov, Bolat
Diab, Hassan
Milkov, Mario
Journal Title
Journal ISSN
Volume Title
Publisher
PLOS ONE
Abstract
Background
The authors sought to compare simultaneous and sequential tympanoplasty and adenoi dectomy surgery in pediatric patients.
Methods
This retrospective single-center study included 65 children (36 males, 29 females; mean
age 9.16 ± 3.82 years; range 3–17 years) requiring both tympanoplasty and adenoidectomy.
Simultaneous surgeries were performed on the same day, during single general anesthesia,
whereas sequential surgeries were separated at least 12 weeks. The groups were com pared with regard to restoration of hearing, tympanic membrane status, and utilization of
medical resources. All study participants had a 12-months follow-up period after surgery.
Results
No statistically significant differences were observed between the groups regarding pre and post-operative ABG values and average hearing gains. However, the post-operative
ABG was significantly lower than the pre-operative ABG in both groups (p<0.001). There
were no significant differences between simultaneous and sequential groups with respect to
complete healing rates and complications (all p>0.355). Simultaneous tympanoplasty and
adenoidectomy surgery management is associated with a significantly decreased cumula tive hospital stay, cumulative operating room time, and cumulative pure surgical time (all
p�0.016).
Conclusions
The results of first comparative study of simultaneous versus sequential tympanoplasty and
adenoidectomy surgery managements demonstrate no advantages for the sequential approach. The same-day surgery can show the clinical outcomes comparable to those in
the sequential group. The simultaneous surgery approach appears to be associated with
reduced medical resources consumption. Therefore, simultaneous surgery management is
an effective and safe option for children with chronic otitis media and adenoid hypertrophy.
Description
Keywords
Type of access: Open Access, pediatric patients, Tympanoplasty, adenoidectomy
Citation
Shamshudinov, T., Kassym, L., Taukeleva, S., Sadykov, B., Diab, H., & Milkov, M. (2022). Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches. PLOS ONE, 17(3), e0265133. https://doi.org/10.1371/journal.pone.0265133