Paediatric tympanoplasty

Much debate exists over the management of mucosal chronic suppurative otiti s media in children, with the majority of it centred around the correct tim ing to perform either a myringoplasty (an operative repair of the tympanic membrane) or type I tympanoplasty (reconstruction of the tympanic membrane when there is an intact and mobile ossicular chain). Further discussion wil l use the term tympanoplasty to mean both of the above definitions. We pres ent the findings of a recent survey of UK ENT consultants questioning their opinions on various management aspects of mucosal CSOM in the paediatric p opulation. We also present an extensive review of the literature to provide us with published evidence in order to analyse the results of the question naire.