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| Name | Class |
|---|---|
| URC-CIC Paris Descartes Necker Cochin | OTHER |
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This study is a retrospective cohort of patients minors during the operation of cartilage tympanoplasty for tympanic membrane perforation
The investigators hypothesis is that the cartilage tympanoplastie lead to a closure of the tympanic membrane in 95% of cases. But the investigators believe that certain risk factors may influence the anatomical and functional results of tympanoplastie of the child and that their inclusion could improve these results.
For example, young age is not clear so far as a potential risk factor in the few studies analyzing this factor independently. A recommendation of the French Society of ENT surgery tympanic membrane perforation of the Child in 2006 recommended a minimum age of 6 years. However, the level of evidence of articles analyzed was small (it was basically a consensus of experts) and the investigators feel it necessary to study this factor by age (<7 years, 7-10 years, 11-14 years ,> 14 years) on a large cohort to determine the real influence of age on the anatomical and functional results as this may lead to changes in practice.
Similarly, whatever the influence of age in the general population, it could be a key criterion in children who have a particular field leading to prolonged tubal dysfunction (vélopalatines slots and craniofacial malformations), leading to raising the age of surgery tympanic closure: the investigators have for example in 1000 tympanoplasties for perforation, expected recruitment numbers in this study, 50 patients with craniofacial malformation or vélopalatine slot.
The purpose of this study is to investigate the factors influencing the anatomic outcome at one year of cartilage tympanoplastie child.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Children aged under 7 years old when tympanoplatie | Collection of anatomical and functional results in the appearance of the tympanic membrane after surgery |
| |
| Children aged 7 to 10 years at the tympanoplatie | Collection of anatomical and functional results in the appearance of the tympanic membrane after surgery |
| |
| Children aged 11 to 14 years at the tympanoplatie | Collection of anatomical and functional results in the appearance of the tympanic membrane after surgery |
| |
| Children aged over 14 years at the tympanoplatie | Collection of anatomical and functional results in the appearance of the tympanic membrane after surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collection of anatomical and functional results in the appearance of the tympanic membrane after surgery | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| anatomical result of the appearance of the tympanoplasty (tympanic membrane perforation after surgery) |
| 12 months (range 9 to 18 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Factors influencing the functional outcome of the tympanoplasty |
|
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Inclusion Criteria:
Exclusion Criteria:
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Pediatric ENT Head and Neck Surgery, Necker hospital.
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| Name | Affiliation | Role |
|---|---|---|
| Françoise DENOYELLE, MD, PhD | Hospital Necker - Enfants Malades | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Necker - Enfants Malades | Paris | 75015 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33993647 | Result | Simon F, Thierry B, Rabeony T, Verrier F, Elie C, Loundon N, Leboulanger N, Couloigner V, Garabedian EN, Denoyelle F. Long-term outcomes of cartilage tympanoplasty in 139 ears in children. Clin Otolaryngol. 2021 Nov;46(6):1395-1399. doi: 10.1111/coa.13801. Epub 2021 May 31. No abstract available. |
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| 12 months (range 9 to 18 months) |
| Factors influencing the functional outcome of the tympanoplasty |
| 36 months ( range 30 to 42 months) |
| Change anatomical result of the tympanoplasty | 36 months ( range 30 to 42 months) |
| factors affecting the anatomical and functional results of the tympanoplasty. |
| 36 months ( range 30 to 42 months) |
| ID | Term |
|---|---|
| D018058 | Tympanic Membrane Perforation |
| ID | Term |
|---|---|
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D014947 | Wounds and Injuries |
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