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Zakir, Iqra, Ahmad, Ahmad, Pasha, Hamdan, Aqil, Shakil, Akhtar, Saeed. (1401). Comparison of Endoscopic Versus Microscopic Tympanoplasty. , 34(3), 139-143. doi: 10.22038/ijorl.2022.61234.3104
Iqra Zakir; Ahmad Nawaz Ahmad; Hamdan Ahmed Pasha; Shakil Aqil; Saeed Akhtar. "Comparison of Endoscopic Versus Microscopic Tympanoplasty". , 34, 3, 1401, 139-143. doi: 10.22038/ijorl.2022.61234.3104
Zakir, Iqra, Ahmad, Ahmad, Pasha, Hamdan, Aqil, Shakil, Akhtar, Saeed. (1401). 'Comparison of Endoscopic Versus Microscopic Tympanoplasty', , 34(3), pp. 139-143. doi: 10.22038/ijorl.2022.61234.3104
Zakir, Iqra, Ahmad, Ahmad, Pasha, Hamdan, Aqil, Shakil, Akhtar, Saeed. Comparison of Endoscopic Versus Microscopic Tympanoplasty. , 1401; 34(3): 139-143. doi: 10.22038/ijorl.2022.61234.3104

Comparison of Endoscopic Versus Microscopic Tympanoplasty

Iranian Journal of Otorhinolaryngology
مقاله 1، دوره 34، شماره 3، مرداد و شهریور 2022، صفحه 139-143    اصل مقاله (730.11 K)
نوع مقاله: Original
شناسه دیجیتال (DOI): 10.22038/ijorl.2022.61234.3104
نویسندگان
Iqra Zakir؛ Ahmad Nawaz Ahmad* ؛ Hamdan Ahmed Pasha؛ Shakil Aqil؛ Saeed Akhtar
Department of Otolaryngology – Head and Neck Surgery, Liaquat National Postgraduate Medical Centre,Karachi, Pakistan.
چکیده
Introduction:
Tympanoplasty is a common surgery for chronic otitis media and has conventionally been performed with a microscope for decades. The trend of endoscopic minimally invasive surgeries has been increasing worldwide for the last few decades. Few studies have discussed the outcomes of microscopic and endoscopic tympanoplasty. This study aims to compare results of tympanoplasty done with microscope vs endoscope in terms of graft take rate and improvement in conductive hearing loss.
Materials and Methods:
We did a retrospective review of 120 patients (54 male and 66 female) who underwent Type I tym­panoplasty at Liaquat National Postgraduate Medical Center from January 2019 to January 2020. We included 60 patients who underwent microscopic tympanoplasty and 60 patients who underwent endoscopic tympanoplasty. Postoperative graft uptake and hearing improvement were studied.
 
Results:
Overall mean preoperative hearing loss was 30.24 (±9.61) dB as compared to mean postoperative hearing loss, which was reduced to 19.36 ( ±8.54) dB, and the difference was significant (P-value <0.001. No statistically significant difference was found for air-bone gap closure between the two groups (P-value 0.78). Out of 120 patients, overall successful graft uptake was seen in 109 (90.8%). In microscopic tympanoplasty, graft take was 90.0%, compared to 91.6% in endoscopic patients. There was no significant difference in graft take in the two groups.
Conclusions:
The endoscopic tympanoplasty is comparable to microscopic in terms of graft uptake and hearing improvement.
کلیدواژه‌ها
Endoscopic tymapanoplasty؛ Graft uptake؛ Hearing improvement
مراجع
  1. Dornhoffer JL. Surgical management of the atelectatic ear. Otology & Neurotology. 2000 May 1; 21(3):315-21.
  2. Ayache S, Tramier B, Strunski V. Otoendoscopy in cholesteatoma surgery of the middle ear: what benefits can be expected?. Otology & neurotology. 2008 Dec 1;29(8):1085-90.
  3. Hsu YC, Kuo CL, Huang TC. A retrospective comparative study of endoscopic and microscopic tympanoplasty. Journal of Otolaryngology-Head & Neck Surgery. 2018 Dec;47(1):1-7.
  4. Zhang J, Hu S. Comparison of endoscopic tympanoplasty to microscopic tympanoplasty in anterior tympanic membrane perforation. Laparoscopic, Endoscopic and Robotic Surgery. 2020 Sep 1;3(3):70-3.
  5. Aggarwal R, Saeed SR, Green KJ. Myringoplasty. The Journal of Laryngology & Otology. 2006 Jun;120(6):429-32.
  6. El-Guindy A. Endoscopic transcanal myringoplasty. The Journal of Laryngology & Otology. 1992 Jun;106(6):493-5.
  7. Tarabichi M. Endoscopic middle ear surgery. Annals of Otology, Rhinology & Laryngology. 1999 Jan; 108(1):39-46.
  8. Puria S. Middle Ear Mechanics in Research and Otosurgery: Proceedings of the International Workshop on Middle Ear Mechanics and Otosurgery, Dresden, Germany, September 19–22, 1996, Karl-Bernd Hüttenbrink (Ed.). Bibliothek der HNO-Universitätsklinik, Dresden, Germany, 1997. ISBN 3-86005-193-8.
  9. Lee JC, Lee SR, Nam JK, Lee TH, Kwon JK. Comparison of different grafting techniques in Type I tympanoplasty in cases of significant middle ear granulation. Otology & Neurotology. 2012 Jun 1; 33(4):586-90.
  10. Kuo CH, Wu HM. Comparison of endoscopic and microscopic tympanoplasty. European Archives of Oto-Rhino-Laryngology. 2017 Jul; 274(7):
    2727-32.
  11. Kaya I, Sezgin B, Sergin D, Ozturk A, Eraslan S, Gode S, Bilgen C, Kirazli T. Endoscopic versus microscopic type 1 tympanoplasty in the same patients: a prospective randomized controlled trial. European Archives of Oto-Rhino-Laryngology. 2017 Sep;274(9):3343-9.
  12. El-Hennawi DE, Ahmed MR, Abou-Halawa AS, Al-Hamtary MA. Endoscopic push-through technique compared to microscopic underlay myringoplasty in anterior tympanic membrane perforations. The Journal of Laryngology & Otology. 2018 Jun;132(6):509-13.
  13. Tseng CC, Lai MT, Wu CC, Yuan SP, Ding YF. Comparison of the efficacy of endoscopic tympanoplasty and microscopic tympanoplasty: A systematic review and meta‐ The Laryngoscope. 2017 Aug;127(8):1890-6.
  14. Tseng CC, Lai MT, Wu CC, Yuan SP, Ding YF. Endoscopic transcanal myringoplasty for anterior perforations of the tympanic membrane. JAMA Otolaryngology–Head & Neck Surgery. 2016 Nov 1;142(11):1088-93.
  15. Ayache S. Cartilaginous myringoplasty: the endoscopic transcanal procedure. European Archives of Oto-Rhino-Laryngology. 2013 Mar; 270(3) :853-60.
  16. Dündar R, Kulduk E, Soy FK, Aslan M, Hanci D, Muluk NB, Cingi C. Endoscopic versus microscopic approach to type 1 tympanoplasty in children. International journal of pediatric otorhinolaryngology. 2014 Jul 1;78(7):1084-9.
  17. Huang TY, Ho KY, Wang LF, Chien CY, Wang HM. A comparative study of endoscopic and microscopic approach type 1 tympanoplasty for simple chronic otitis media. The Journal of International Advanced Otology. 2016 Apr 1;
    12(1): 28.
  18. Sinha M, Hirani N, Khilnani AK. Comparison of endoscopic underlay and microscopic underlay tympanoplasty: A prospective research at a tertiary care centre in Gujarat. Int J Otorhinolaryngol Head Neck Surg. 2017 Oct;3(4):874-7.
 

 

 

 

 

 

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