TYMPANOPLASTY AND ADENOIDECTOMY IN CHILDREN: COMPARISON OF SIMULTANEOUS AND SEQUENTIAL APPROACHES

dc.contributor.authorShamshudinov, Timur
dc.contributor.authorKassym, Laura
dc.contributor.authorTaukeleva, Saule
dc.contributor.authorSadykov, Bolat
dc.contributor.authorDiab, Hassan
dc.contributor.authorMilkov, Mario
dc.date.accessioned2022-07-25T07:23:42Z
dc.date.available2022-07-25T07:23:42Z
dc.date.issued2022-03-10
dc.description.abstractBackground 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.en_US
dc.identifier.citationShamshudinov, 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.0265133en_US
dc.identifier.urihttp://nur.nu.edu.kz/handle/123456789/6522
dc.language.isoenen_US
dc.publisherPLOS ONEen_US
dc.rightsAttribution-NonCommercial-ShareAlike 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/3.0/us/*
dc.subjectType of access: Open Accessen_US
dc.subjectpediatric patientsen_US
dc.subjectTympanoplastyen_US
dc.subjectadenoidectomyen_US
dc.titleTYMPANOPLASTY AND ADENOIDECTOMY IN CHILDREN: COMPARISON OF SIMULTANEOUS AND SEQUENTIAL APPROACHESen_US
dc.typeArticleen_US
workflow.import.sourcescience

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