OBJECTIVE:The aim of the present study and work is to assess the prognostic value of different variable on the outcome of pediatric type I tympanoplasty.

DESIGN:  Retrospective otological case study

STUDY SELECTION:   All forty patients age between 06 yrs to 18 yrs were enrolled in our study for pediatric tympanoplasty type first in territory referral center from July 2015 to July 2017. All patients have regular follow up examination from 6 months to 23 months after tympanoplasty and prognostic factor analysis.

INTERVENTION:  None

MAIN OUTCOME:  The all data recorded and analysis like pre operative, postoperative pure tone audiometry and otological examination of all patients.  The results are reported for graft healing, hearing, middle ear space, and success, which combines hearing and healing and is defined as intact graft with a postoperative air–bone gap of less than 20dB.

RESULTS:Pediatric tympanoplasty type first is a safe surgical procedure, when experience surgeon be carefully for selection of patient. All three categories have excellent success rate of tympanoplasty. On the basis of success criteria, the present study show following success rate.

1.     Our study revealed that overall 94.22% success rate of graft healing in type first tympanoplasty in pediatric patients.

2.     The overall success rate of Conductive hearing loss is 89.17% in pediatric age group in type first tympanoplasty.

3.     94.6% (35) of the 37 healed ears with an available postoperative pure tone         audiogram had an ABG of no greater than 20dB.