Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches
Shamshudinov T. Kassym L. Taukeleva S. Sadykov B. Diab H. Milkov M.
March 2022Public Library of Science
PLoS ONE
2022#17Issue 3 March
Background The authors sought to compare simultaneous and sequential tympanoplasty and adenoidectomy 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 compared 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 cumulative 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. Copyright:
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Center of Pediatric Otorhinolaryngology, General Hospital #5, Almaty, Kazakhstan
School of Medicine, Nazarbayev University, Nur-Sultan, Kazakhstan
Kazakh-Russian Medical University, Almaty, Kazakhstan
The National Medical Research Center for Otorhinolaringology, Federal Medico-Biological Agency, Moscow, Russian Federation
Medical University of Varna, Faculty of Dental Medicine, Varna, Bulgaria
Center of Pediatric Otorhinolaryngology
School of Medicine
Kazakh-Russian Medical University
The National Medical Research Center for Otorhinolaringology
Medical University of Varna
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