title: Results of tympanoplasty in children with primary ciliary dyskinesia.
abstract: OBJECTIVE
  To assess the results of tympanoplasty in children with primary ciliary dyskinesia complicated by tympanic perforation or cholesteatoma with hearing loss and/or recurrent otorrhea.
  
  
  METHODS
  Retrospective study. Postoperative follow-up of 26.3 months in the type 1 tympanoplasty group and 46 months in the child with cholesteatoma.
  
  
  METHODS
  Hospitalized care, referral center.
  
  
  METHODS
  Seven children with primary ciliary dyskinesia, complicated in 6 children by 9 tympanic perforations (3 bilateral perforations) and in 1 child by an attical cholesteatoma.
  
  
  RESULTS
  After 9 type 1 tympanoplasties, the grafts were intact in 9 ears, with no recurrence of otorrhea, but serous otitis media was present in 6 of the 9 ears. Auditory improvement was significant, with an average gain of 17-dB hearing level in speech frequencies. After a canal wall-down tympanoplasty with mastoidectomy for attic cholesteatoma in 1 ear, the cavity that was operated on showed no signs of otorrhea or residual cholesteatoma after a follow-up of 46 months.
  
  
  CONCLUSIONS
  In children with primary ciliary dyskinesia, tympanoplasty has a high probability of graft success and auditory improvement, despite the frequent recurrence of serous otitis media.
authors.affiliation: Department of Pediatric Otolaryngology, Armand-Trousseau Children's Hospital, Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Denoyelle
authors.forename: G
authors.initials: G
authors.lastname: Roger
authors.forename: V
authors.initials: V
authors.lastname: Ducroz
authors.forename: E
authors.initials: E
authors.lastname: Escudier
authors.forename: B
authors.initials: B
authors.lastname: Fauroux
authors.forename: E N
authors.initials: EN
authors.lastname: Garabedian
mesh_terms: D000293:Adolescent; D002648:Child; D002781:Cholesteatoma / Q000150:complications / Q000601:surgery; D002908:Chronic Disease; D002925:Ciliary Motility Disorders / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006311:Hearing Disorders / Q000150:complications; D006801:Humans; D008297:Male; D010034:Otitis Media with Effusion / Q000150:complications* / Q000601:surgery; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000150:complications / Q000601:surgery; D014433:Tympanoplasty