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Faculté de Médecine - Site Tonnellé

10 boulevard Tonnellé 37000 TOURS

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Total and partial ossiculoplasty in children: Audiological results and predictive factors

Affiliations.

  • 1 Service d'ORL et de chirurgie cervico-faciale, CHRU Bretonneau, faculté de médecine, université de Tours, 2, boulevard Tonnellé, 37000 Tours, France. Electronic address: [email protected].
  • 2 Service d'ORL et de chirurgie cervico-faciale, CHRU Bretonneau, faculté de médecine, université de Tours, 2, boulevard Tonnellé, 37000 Tours, France.
  • 3 Service d'information médicale, épidémiologie et économie de la santé, CHRU Bretonneau, 2, boulevard Tonnellé, 37000 Tours, France.
  • 4 Service d'ORL et de chirurgie cervico-faciale, CHRU Bretonneau, faculté de médecine, université de Tours, 2, boulevard Tonnellé, 37000 Tours, France; Inserm U930 "Imagerie et Cerveau", faculté de médecine, 10 Bd Tonnellé, 37000 Tours, France.
  • 5 Service d'ORL et de chirurgie cervico-faciale, CHRU Bretonneau, faculté de médecine, université de Tours, 2, boulevard Tonnellé, 37000 Tours, France; Inserm U930 "Imagerie et Cerveau", faculté de médecine, 10 Bd Tonnellé, 37000 Tours, France. Electronic address: [email protected].
  • PMID: 30880034
  • DOI: 10.1016/j.anorl.2019.02.012

Objective: To assess ossiculoplasty results in children and screen for predictive factors of efficacy.

Patients and methods: Seventy five children undergoing ossiculoplasty between 2001 and 2014 in a pediatric ENT department were included. The following data were collected and analyzed: demographic data, surgical indication, history of tympanoplasty, contralateral ear status (healthy, affected), preoperative hearing thresholds, surgical technique, intraoperative findings, and ossicular chain status at eardrum opening. Audiological results were reported according to American Academy of Otolaryngology-Head and Neck Surgery guidelines.

Results: Forty eight patients were included in the total ossicular reconstruction prosthesis (TORP) group. Mean age at surgery was 9.9years. Mean follow up was 2.7years. Mean air-bone gap (ABG) closure to within 20dB was achieved in 40% of cases at medium term (12 to 18 months after surgery). Air conduction (AC) threshold ≤30dB was achieved in 68% of cases. AC threshold improved by 14.6dB and 8.7dB at medium and long-term follow-up, respectively. A significant correlation was found between success rate and absence of history of tympanoplasty. The success rate was higher for primary than for revision procedures. Twenty seven children were included in the partial ossicular reconstruction prosthesis (PORP) group. Mean age was 9.5years, and mean follow-up 2.6years. Mean air-bone gap (ABG) closure to within 20dB was achieved in 75% of cases at medium term. AC threshold ≤30dB was achieved in 75% of cases AC threshold improved by 9.3dB and 5dB at medium and long-term follow-up, respectively. No predictive factors for success were found in the PORP group.

Conclusion: The present study suggested that total ossiculoplasty leads to better results when performed in first-line. It also confirmed that functional outcome is better in partial than total ossicular reconstruction prosthesis.

Keywords: Children; Cholesteatoma; Hearing loss; Ossiculoplasty; Tympanoplasty.

Copyright © 2019 Elsevier Masson SAS. All rights reserved.

  • Auditory Threshold
  • Bone Conduction / physiology
  • Cholesteatoma, Middle Ear / surgery
  • Ear Ossicles / surgery*
  • Follow-Up Studies
  • Hearing* / physiology
  • Ossicular Prosthesis
  • Plastic Surgery Procedures
  • Reoperation
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome
  • Tympanoplasty / statistics & numerical data

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The elegant Bretonneau-Tours

4 Rue du Docteur Bretonneau, 37000 Tours, France – Show map

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  • Entire apartment
  • 624 ft² size
  • Washing machine
  • Private bathroom

Set in Tours, near Basilica of Saint Martin, Vinci International Congress Center and Tours Train Station, The elegant Bretonneau-Tours features free WiFi. The property is around 3.4 km from Chateau de Plessis-lès-Tours, 4.1 km from Ronsard House and 4.4 km from Saint-Pierre-des-Corps Train Station. The property is 400 metres from the city centre and 500 metres from Hotel Goüin Museum. The apartment has 1 bedroom, a TV, a fully equipped kitchen with a dishwasher and an oven, a washing machine, and 1 bathroom with a shower. The accommodation is non-smoking. Parc des Expositions Tours is 5 km from the apartment, while Château de Villandry is 17 km from the property. The nearest airport is Tours Val de Loire Airport, 6 km from The elegant Bretonneau-Tours.

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Facilities of the elegant bretonneau-tours.

  • Street parking
  • Children's high chair
  • Coffee machine
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  • Kitchenware
  • Electric kettle
  • Refrigerator
  • Laptop safe
  • Drying rack for clothing
  • Clothes rack
  • Ironing facilities
  • Non-smoking throughout

House rules

From 16:00 to 23:00

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Until 10:00

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Refundable damage deposit

A damage deposit of EUR 500 is required. The property charges this 7 days before arrival. That's about GBP 422. This will be collected by credit card. You should be reimbursed within 14 days of check-out. Your deposit will be refunded in full via credit card, subject to an inspection of the property.

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Children of any age are welcome.

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1 cot available upon request.

No age restriction

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Smoking is not allowed.

Parties/events are not allowed

Pets are not allowed.

The fine print Need-to-know information for guests at this property

This property will not accommodate hen, stag or similar parties.

A damage deposit of € 500 is required. The property charges this days before arrival. This will be collected by credit card. You should be reimbursed within 14 days of check-out. Your deposit will be refunded in full via credit card, subject to an inspection of the property.

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The elegant Bretonneau-Tours is 1,000 yards from the centre of Tours. All distances are measured in straight lines. Actual travel distances may vary.

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Check-in at The elegant Bretonneau-Tours is from 16:00, and check-out is until 10:00.

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