Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches
The authors sought to compare simultaneous and sequential tympanoplasty and adenoidectomy surgery in pediatric patients. 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. Si...
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| Veröffentlicht in: | PloS one 2022-03, Vol.17 (3), p.e0265133-e0265133 |
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| creator | Shamshudinov, Timur Kassym, Laura Taukeleva, Saule Sadykov, Bolat Diab, Hassan Milkov, Mario |
| description | The authors sought to compare simultaneous and sequential tympanoplasty and adenoidectomy surgery in pediatric patients.
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.
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 (p0.355). 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).
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. |
| doi_str_mv | 10.1371/journal.pone.0265133 |
| format | Article |
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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.
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).
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><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0265133</identifier><identifier>PMID: 35271666</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adenoid ; Adenoidectomy ; Adolescent ; Anesthesia ; Biology and Life Sciences ; Child ; Child, Preschool ; Children ; Comparative studies ; Complications ; Complications and side effects ; Consent ; Diseases ; Ear ; Ear diseases ; Eardrum ; Female ; General anesthesia ; Hearing ; Hospitals ; Humans ; Hypertrophy ; Male ; Medicine and Health Sciences ; Otitis media ; Otitis Media - complications ; Otolaryngology ; Patient outcomes ; Pediatrics ; Retrospective Studies ; Statistical analysis ; Surgery ; Surgical outcomes ; Tomography ; Treatment Outcome ; Tympanic membrane ; Tympanoplasty - methods</subject><ispartof>PloS one, 2022-03, Vol.17 (3), p.e0265133-e0265133</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Shamshudinov et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Shamshudinov et al 2022 Shamshudinov et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-323f1f0b6782a10ffbbea47f7dfc7e42e15ec5e2dc6b654888c033b110da3d533</citedby><cites>FETCH-LOGICAL-c692t-323f1f0b6782a10ffbbea47f7dfc7e42e15ec5e2dc6b654888c033b110da3d533</cites><orcidid>0000-0001-5337-3239 ; 0000-0003-4448-6455</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8912196/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8912196/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2104,2930,23873,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35271666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Iannella, Giannicola</contributor><creatorcontrib>Shamshudinov, Timur</creatorcontrib><creatorcontrib>Kassym, Laura</creatorcontrib><creatorcontrib>Taukeleva, Saule</creatorcontrib><creatorcontrib>Sadykov, Bolat</creatorcontrib><creatorcontrib>Diab, Hassan</creatorcontrib><creatorcontrib>Milkov, Mario</creatorcontrib><title>Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The authors sought to compare simultaneous and sequential tympanoplasty and adenoidectomy surgery in pediatric patients.
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.
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).
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><subject>Adenoid</subject><subject>Adenoidectomy</subject><subject>Adolescent</subject><subject>Anesthesia</subject><subject>Biology and Life Sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Comparative studies</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Consent</subject><subject>Diseases</subject><subject>Ear</subject><subject>Ear diseases</subject><subject>Eardrum</subject><subject>Female</subject><subject>General anesthesia</subject><subject>Hearing</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Otitis media</subject><subject>Otitis Media - complications</subject><subject>Otolaryngology</subject><subject>Patient outcomes</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Tomography</subject><subject>Treatment Outcome</subject><subject>Tympanic membrane</subject><subject>Tympanoplasty - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shamshudinov, Timur</au><au>Kassym, Laura</au><au>Taukeleva, Saule</au><au>Sadykov, Bolat</au><au>Diab, Hassan</au><au>Milkov, Mario</au><au>Iannella, Giannicola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-03-10</date><risdate>2022</risdate><volume>17</volume><issue>3</issue><spage>e0265133</spage><epage>e0265133</epage><pages>e0265133-e0265133</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The authors sought to compare simultaneous and sequential tympanoplasty and adenoidectomy surgery in pediatric patients.
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.
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).
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35271666</pmid><doi>10.1371/journal.pone.0265133</doi><tpages>e0265133</tpages><orcidid>https://orcid.org/0000-0001-5337-3239</orcidid><orcidid>https://orcid.org/0000-0003-4448-6455</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adenoid Adenoidectomy Adolescent Anesthesia Biology and Life Sciences Child Child, Preschool Children Comparative studies Complications Complications and side effects Consent Diseases Ear Ear diseases Eardrum Female General anesthesia Hearing Hospitals Humans Hypertrophy Male Medicine and Health Sciences Otitis media Otitis Media - complications Otolaryngology Patient outcomes Pediatrics Retrospective Studies Statistical analysis Surgery Surgical outcomes Tomography Treatment Outcome Tympanic membrane Tympanoplasty - methods |
| title | Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches |
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