top of page

BackTable / ENT / Podcast / Episode #100

Tympanic Membrane Perforation in Children

with Dr. Daniel Choo and Dr. Walter Kutz

In this episode of BackTable ENT, Dr. Gopi Shah, Dr. Walter Kutz (UT Southwestern), and Dr. Daniel Choo (Cincinnati Children’s Hospital) discuss indications and repair techniques for tympanic membrane perforation in children.

Sponsored by:

Cook Medical Otolaryngology

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

Tympanic Membrane Perforation in Children with Dr. Daniel Choo and Dr. Walter Kutz on the BackTable ENT Podcast)
Ep 100 Tympanic Membrane Perforation in Children with Dr. Daniel Choo and Dr. Walter Kutz
00:00 / 01:04

BackTable, LLC (Producer). (2023, March 30). Ep. 100 – Tympanic Membrane Perforation in Children [Audio podcast]. Retrieved from https://www.backtable.com

Free CME

Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs. Follow the button below to claim your credits on CMEfy.

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Daniel Choo discusses Tympanic Membrane Perforation in Children on the BackTable 100 Podcast

Dr. Daniel Choo

Dr. Dana Thompson is the chair of pediatric otolaryngology with Lurie Children’s Hospital in Chicago.

Dr. Walter Kutz discusses Tympanic Membrane Perforation in Children on the BackTable 100 Podcast

Dr. Walter Kutz

#N/A

Dr. Gopi Shah discusses Tympanic Membrane Perforation in Children on the BackTable 100 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Show Notes

First, the doctors discuss the typical patient presentation of a child with a perforated tympanic membrane (TM). Tympanostomy tubes falling out are the most common causes of this condition. Trauma and suppurative otitis media can also cause a TM perforation. The doctors emphasize the importance of taking a thorough history and asking about previous tubes, craniofacial abnormalities, the function of the contralateral ear, and recent trauma. Then, they discuss physical exam techniques to inspect the affected ear. All agree that using a standard otoscope is most useful in clinic, as the endoscope is more useful in the OR. Additionally, Dr. Choo notes that he usually streams the inspection on video monitors on the wall for kids and families to see.

Not all children with TM perforations have to undergo tympanoplasty. If there is a small perforation without hearing loss, watchful waiting may be appropriate. However, Dr. Kutz adds that if there is evidence of cholesteatoma or severe hearing loss, repair may be the best option after explaining all options to the parents. The doctors then weigh the risks and benefits of immediate TM repair versus watchful waiting and assess whether size and location of perforation matter. They conclude that the functional status of the children, evident through school performance and language development, have an important contribution when choosing a treatment option as well.

Next, the doctors discuss different tympanoplasty techniques, including different types of grafts (cartilage, fat, synthetic, etc.), ways to shape the grafts, and taking a microscopic versus endoscopic approach to the repair surgery. They also discuss common causes of failure and postoperative complications. Finally, they each explain their postoperative regimens and alternative rehab options if hearing does not improve enough after surgery.

Resources

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

backtable-earn-free-cme.jpg
Become a BackTable Sponsor

Up Next

Manejo de Condiciones Neurotologicas con Dr. Juan Chiosone on the BackTable ENT Podcast)
Pediatric Cochlear Implant Program in Costa Rica with Dr. Adriana Vega on the BackTable ENT Podcast)
Intracapsular Tonsillectomy in Children with Dr. Kevin Huoh on the BackTable ENT Podcast)
Microtia Surgery in Children with Dr. Mai Thy Truong on the BackTable ENT Podcast)
Lifestyle Medicine in Pediatric ENT with Dr. Julie Wei on the BackTable ENT Podcast)
In-Office Procedures for Chronic Rhinitis with Dr. Stan McClurg on the BackTable ENT Podcast)

Articles

Topics

Learn about Neurotology on BackTable ENT
Learn about Pediatric ENT on BackTable ENT

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page