Pediatric ossiculoplasty presents the surgeon with a number of unique challenges relating, for example, to timing, choice of graft material, stabilization, and reconstruction. The aim of the current article is to review 10 important considerations in pediatric ossiculoplasty in an effort to maximize outcomes while minimizing complications. Routinely and systematically addressing each of these factors prior to and during ossiculoplasty in every pediatric patient will both optimize and contribute to understanding the hearing results achieved.
De VosCGersdorffMGerardJM. Prognostic factors in ossiculoplasty. Otol Neurotol. 2007;28:61-67.
2.
MishiroYSakagamiMKitaharaTKondohKKuboT. Long-term hearing outcomes after ossiculoplasty in comparison to short-term outcomes. Otol Neurotol. 2008;29:326-329.
3.
BrackmannDESheehyJLLuxfordWM. TORPs and PORPs in tympanoplasty: a review of 1042 operations. Otolaryngol Head Neck Surg. 1984;92:32-37.
4.
SheltonCSheehyJL. Tympanoplasty: review of 400 staged cases. Laryngoscope. 1990;100:679-681.
5.
SilversteinHMcDanielABLichtensteinR. A comparison of PORP, TORP, and incus homograft for ossicular reconstruction in chronic ear surgery. Laryngoscope. 1986;96:159-165.
6.
DanielsRLRizerFMSchuringAGLippyWL. Partial ossicular reconstruction in children: a review of 62 operations. Laryngoscope. 1998;108:1674-1681.
7.
MurphyTP. Hearing results in pediatric patients with chronic otitis media after ossicular reconstruction with partial ossicular replacement prostheses and total ossicular replacement prostheses. Laryngoscope. 2000;110:536-544.
8.
Dornelles CdeCda CostaSSMeurerLRositoLPda SilvaARAlvesSL. Comparison of acquired cholesteatoma between pediatric and adult patients. Eur Arch Otorhinolaryngol. 2009;266:1553-1561.
9.
GlasscockMEDickinsJRWietR. Cholesteatoma in children. Laryngoscope. 1981;91:1743-1753.
10.
PalvaAKarmaPKarjaJ. Cholesteatoma in children. Arch Otolaryngol. 1977;103:74-77.
11.
BellucciRJ. Dual classification of tympanoplasty. Laryngoscope. 1973;83:1754-1758.
12.
KartushJM. Ossicular chain reconstruction: capitulum to malleus. Otolaryngol Clin North Am. 1994;27:689-715.
13.
WullsteinH. Theory and practice of tympanoplasty. Laryngoscope. 1956;66:1076-1093.
14.
AustinDF. Reporting results in tympanoplasty. Am J Otol. 1985;6:85-88.
15.
TierneyPAPracyPBlaneySPBowdlerDA. An assessment of the value of the preoperative computed tomography scans prior to otoendoscopic ‘second look’ in intact canal wall mastoid surgery. Clin Otolaryngol Allied Sci. 1999;24:274-276.
16.
VrabecJTDeskinRWGradyJJ. Meta-analysis of pediatric tympanoplasty. Arch Otolaryngol Head Neck Surg. 1999;125:530-534.
17.
HallARytznerC. Stapedectomy and autotransplantation of ossicles. Acta Otolaryngol. 1957;47:318-324.
18.
O’ReillyRCCassSPHirschBEKamererDBBernatRAPoznanovicSP. Ossiculoplasty using incus interposition: hearing results and analysis of the middle ear risk index. Otol Neurotol. 2005;26:853-858.
19.
MishiroYSakagamiMKitaharaTKakutaniC. Prognostic factors of long-term outcomes after ossiculoplasty using multivariate analysis. Eur Arch Otorhinolaryngol. 2009;267:861-865.
20.
StuppCHStuppHFGrunD. Replacement of ear ossicles with titanium prostheses [in German]. Laryngorhinootologie. 1996;75:335-337.
21.
SchwagerK. Scanning electron microscopy findings in titanium middle ear prostheses [in German]. Laryngorhinootologie. 2000;79:762-766.
22.
ZennerHPFreitagHGLintiC. Acoustomechanical properties of open TTP titanium middle ear prostheses. Hear Res. 2004;192:36-46.
23.
MichaelPFongJRautV. Kurz titanium prostheses in paediatric ossiculoplasty: short term results. Int J Pediatr Otorhinolaryngol. 2008;72:1329-1333.
24.
AlaaniARautVV. Kurz titanium prosthesis ossiculoplasty: follow-up statistical analysis of factors affecting one year hearing results. Auris Nasus Larynx. 2010;37:150-154.
