Literature DB >> 28929068

Endoscopic Myringoplasty Versus Microscopic Myringoplasty in Tubotympanic CSOM: A Comparative Study of 120 Cases.

A C Jyothi1, B H Shrikrishna1, N H Kulkarni1, Ajay Kumar1.   

Abstract

Myringoplasty is one of the commonest operations performed on the middle ear. Our aim was to compare the results of endoscopic permeatal myringoplasty with that of conventional myringoplasty by post aural approach using operating microscope. A total of 120 patients having central perforation of tympanic membrane were randomly divided into two equal groups of 60 patients each. In the first group, endoscope was used and in the second group microscope was used to do myringoplasty. Temporalis fascia was used as a graft material. The patients were kept in follow-up for 1 year. The pre-operative and post-operative audiograms, post-operative pain, graft uptake and time taken for surgery were compared in both the groups. The graft uptake rate was 91.67% in the endoscopic group, whereas it was 93.3% in the microscopic group. Post-operative pain was significantly less in the endoscopic group as compared with microscopic group and not much difference was found in the gain in A-B gap in either group. The mean ABG gain was 16.16 dB (SD = 4.68) in endoscopic group and 19.54 dB (SD = 3.45) in microscopic group. On applying the Mann-Whitney U test, this finding was statistically significant (p value = 0.0001). In our study success rate was equal between endoscopic and microscopic technique. In terms of morbidity and postoperative recovery endoscope produced better results. Endoscopic tympanoplasty can be a good alternative of microscopic tympanoplasty.

Entities:  

Keywords:  CSOM; Conventional myringoplasty; Endoscopic myringoplasty; Oto-endoscopy; Post aural approach

Year:  2017        PMID: 28929068      PMCID: PMC5581773          DOI: 10.1007/s12070-017-1147-9

Source DB:  PubMed          Journal:  Indian J Otolaryngol Head Neck Surg        ISSN: 2231-3796


  15 in total

1.  Endoscopic-assisted myringoplasty.

Authors:  S Usami; N Iijima; S Fujita; Y Takumi
Journal:  ORL J Otorhinolaryngol Relat Spec       Date:  2001 Sep-Oct       Impact factor: 1.538

2.  Composite chondroperichondrial clip tympanoplasty: the triple "C" technique.

Authors:  Sylvester Valentine Fernandes
Journal:  Otolaryngol Head Neck Surg       Date:  2003-02       Impact factor: 3.497

3.  Endoscopic transcanal myringoplasty.

Authors:  A el-Guindy
Journal:  J Laryngol Otol       Date:  1992-06       Impact factor: 1.469

Review 4.  Endoscopic sinus surgery. A review.

Authors:  D W Kennedy; B A Senior
Journal:  Otolaryngol Clin North Am       Date:  1997-06       Impact factor: 3.346

5.  Endoscopic transcanal myringoplasty-A study.

Authors:  A Raj; R Meher
Journal:  Indian J Otolaryngol Head Neck Surg       Date:  2001-01

6.  A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty.

Authors:  A S Harugop; R S Mudhol; R A Godhi
Journal:  Indian J Otolaryngol Head Neck Surg       Date:  2008-11-07

7.  Ear surgery without microscope; is it possible.

Authors:  Satyawati Mohindra; Naresh K Panda
Journal:  Indian J Otolaryngol Head Neck Surg       Date:  2010-09-24

8.  Otoscopy and photography: a new method.

Authors:  B Chen; T L Fry; N D Fischer
Journal:  Ann Otol Rhinol Laryngol       Date:  1979 Nov-Dec       Impact factor: 1.547

9.  Day case myringoplasty using tragal perichondrium.

Authors:  M S Quraishi; N S Jones
Journal:  Clin Otolaryngol Allied Sci       Date:  1995-02

10.  Endoscopic 'second look' mastoidoscopy to rule out residual epitympanic/mastoid cholesteatoma.

Authors:  K X McKennan
Journal:  Laryngoscope       Date:  1993-07       Impact factor: 3.325

View more
  4 in total

1.  Comparison of the anatomical and functional success of fascia and perichondrium grafts in transcanal endoscopic type 1 tympanoplasty.

Authors:  Kadir Özdamar; Alper Sen
Journal:  J Otolaryngol Head Neck Surg       Date:  2019-11-27

2.  Efficacy of Otomicroscopy Combined with Otoendoscopy Double-Lens Technology-Assisted Tympanic Membrane Repair on Elderly Patients with Chronic Suppurative Otitis Media.

Authors:  Xin Cheng; Shaohua Wu; Wei Wang
Journal:  Evid Based Complement Alternat Med       Date:  2021-09-23       Impact factor: 2.629

3.  Shifting from postauricular to transcanal microscopic tympanoplasty may have similar frequency-specific improvements with better air-bone-gap closure at low frequencies and a minimal learning-curve effect.

Authors:  Ethan I Huang; Yu-Chieh Wu; Hsiu-Mei Chuang; Tzu-Chi Huang
Journal:  PLoS One       Date:  2021-07-08       Impact factor: 3.240

4.  A Comparative Study of Endoscopic versus Microscopic Cartilage Type I Tympanoplasty.

Authors:  Dipesh Shakya; Arun Kc; Ajit Nepal
Journal:  Int Arch Otorhinolaryngol       Date:  2019-11-04
  4 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.