Clinical characteristics of endoscopic tympanoplasty in young children.
- 1Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China.
Abstract
Data on the clinical outcomes of endoscopic tympanoplasty in children from our institutional cohort remain limited. In this study, we aimed to describe our single-center experience and explore potential age-associated differences in surgical outcomes among pediatric patients undergoing endoscopic tympanoplasty. This retrospective case series included 27 consecutive eligible children aged 4-13 years who underwent endoscopic tympanoplasty between January 2020 and December 2024. Patients with inner ear malformation, previous ear surgery, or incomplete clinical and follow-up data were excluded. Subjects were stratified into a younger-age group (4-8 years, n=14) and an older-age group (9-13 years, n=13). Data on baseline characteristics, including demographic information, external auditory canal (EAC) morphology, perforation features, Eustachian tube function, and comorbid conditions were collected. The primary outcome was postoperative tympanic membrane healing rate, and complications were recorded. Only descriptive statistical analyses were performed owing to the small sample size. The baseline features of all 27 patients were summarized, followed by exploratory comparisons between the two age subgroups. The tympanic membrane healing rate was 92.9% (13/14) in the younger-age group vs. 69.2% (9/13) in the older-age group, with no statistically significant difference (P=0.17). No significant inter-group differences were found regarding the horizontal and vertical diameters at the narrowest EAC, protrusion angle of the EAC anterior wall, tympanic membrane perforation characteristics, Eustachian tube function, or upper-airway status (all P>0.05). The mean anterior-wall protrusion angle of the EAC in younger children was 179°, which indicated a nearly straight canal configuration. Endoscopic tympanoplasty yielded acceptable healing rates among children. No statistically significant differences in surgical outcomes were detected between the younger- and older-age groups. However, clinically meaningful age-related differences cannot be ruled out given the limited sample size.
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BibTeX
@article{ni2026clinical,
title = {{Clinical characteristics of endoscopic tympanoplasty in young children.}},
author = {Kun Ni and Rui Deng and Jia Fang and Fang Chen and Xiaoyan Li and Wenyan Fan},
journal = {Translational pediatrics},
year = {2026},
month = oct,
doi = {10.21037/tp-2026-0565},
url = {https://europepmc.org/article/MED/42996724},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Clinical characteristics of endoscopic tympanoplasty in young children.
AU - Kun Ni
AU - Rui Deng
AU - Jia Fang
AU - Fang Chen
AU - Xiaoyan Li
AU - Wenyan Fan
PY - 2026
DA - 2026/10/21
JO - Translational pediatrics
DO - 10.21037/tp-2026-0565
UR - https://europepmc.org/article/MED/42996724
AB - Data on the clinical outcomes of endoscopic tympanoplasty in children from our institutional cohort remain limited. In this study, we aimed to describe our single-center experience and explore potential age-associated differences in surgical outcomes among pediatric patients undergoing endoscopic tympanoplasty. This retrospective case series included 27 consecutive eligible children aged 4-13 years who underwent endoscopic tympanoplasty between January 2020 and December 2024. Patients with inner ear malformation, previous ear surgery, or incomplete clinical and follow-up data were excluded. Subjects were stratified into a younger-age group (4-8 years, n=14) and an older-age group (9-13 years, n=13). Data on baseline characteristics, including demographic information, external auditory canal (EAC) morphology, perforation features, Eustachian tube function, and comorbid conditions were collected. The primary outcome was postoperative tympanic membrane healing rate, and complications were recorded. Only descriptive statistical analyses were performed owing to the small sample size. The baseline features of all 27 patients were summarized, followed by exploratory comparisons between the two age subgroups. The tympanic membrane healing rate was 92.9% (13/14) in the younger-age group vs. 69.2% (9/13) in the older-age group, with no statistically significant difference (P=0.17). No significant inter-group differences were found regarding the horizontal and vertical diameters at the narrowest EAC, protrusion angle of the EAC anterior wall, tympanic membrane perforation characteristics, Eustachian tube function, or upper-airway status (all P>0.05). The mean anterior-wall protrusion angle of the EAC in younger children was 179°, which indicated a nearly straight canal configuration. Endoscopic tympanoplasty yielded acceptable healing rates among children. No statistically significant differences in surgical outcomes were detected between the younger- and older-age groups. However, clinically meaningful age-related differences cannot be ruled out given the limited sample size.
SN - 2224-4336
SN - 2224-4344
ER -