DOI: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20220009
Published: 2022-01-25

A comparative study between endoscopic and microscopic type 1 tympanoplasty

Shaik Abdul Subhan Faruq, Divya Bhadri Sri, Srinivasa Rao Uppala

Abstract


Background: The current study aims to compare type 1 microscopic tympanoplasty and endoscopic tympanoplasty and draws an evidence-based conclusion regarding the outcome.

Methods: This randomized controlled clinical study consists of 60 patients, in which 30 cases allocated as group 1 underwent endoscopic myringoplasty, and 30 cases allocated as group 2 underwent conventional myringoplasty. Tympanic membrane (TM), pure tone audiometry (PTA) evaluated preoperatively and at 3 months postoperative follow-up.

Results: Demographic distribution between the groups does not show a significant difference (χ2=6.67, p=0.16). There was no significant difference observed between TM perforation size between the groups (χ2=2.32, p=0.51). For the preoperative AB gap in group 1, the mean ABG was 28.20±2.67 and in group 2 was 28.20±0.80. The postoperative AB gap in group 1, the mean ABG was 17.40±3.01, and in group 2, the mean ABG was 19.67±2.93. The mean difference is 9.13, and it shows a statistically significant difference (p=0.001). The mean duration of surgery in group 1 was 130.83±34.84 and in group 2 was 168.33±16.88 min (p=0.001). In both groups, 90% have intact graft, and in 10% of patients’ residual perforation is present. The mean duration of hospitalization in group1 is 4.10±0.09 days and in group 2 is 4.97±0.18 days.

Conclusions: By using the endoscopic addition, minimal invasive tympanoplasty can made possible the similar graft success rate with minimal pain. Endoscopic tympanoplasty uses very less operative time than microscopic surgery.

 


Keywords


Chronic suppurative otitis media, Tympanoplasty, Myringoplasty

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References


World Health Organization. Chronic suppurative otitis media; burden of illness and management options. Geneva, Switzerland. World Health Organization. 2004;2-83. Available at: http://www.who.int/pbd/deafness/activities/hearing_care/otitis_media.pdf. Accessed on 20 Jan 2020.

Poe DS. Endoscope-assisted ear surgery. In: Glasscock, Shambaugh, editor. Surgery of the Ear. 6th ed. Philadelphia, PA: Saunders Company. 2010: 359-68.

Tarabichi M. Principles of endoscopic ear surgery. ENT Audiol News. 2012; 21(3):42-4.

Marchioni D, Alicandri-Ciufelli M, Molteni G, Villari D, Monsani D, Presutti L. Ossicular chain preservation after exclusive transcanal tympanoplasty: preliminary experience. Otoneurotology. 2011;32:626-31.

Marchioni D, Alicandri-Ciufelli M, Molteni G, Genovase G, Presutti L. Endoscopic tympanopolasty in patients with attic retraction pockets. Laryngoscope. 2010;120:1847-55.

Harugop AS, Mudhol RS, Godhi RA. A comparative study of endoscope assisted myringoplasty and microscope assisted myringoplasty. Indian J. Otolaryngol. Head Neck Surg 2008; 60:298– 302.

Shakya D, Kc A, Nepal A. A comparative study of endoscopic versus microscopic cartilage type I tympanoplasty. Inte arch otorhinolaryngol. 2020;24:e80-5.

Huang TY, Ho KY, Wang LF, Chien CY, Wang HM. A comparative study of endoscopic and microscopic approach type 1 tympanoplasty for simple cheonic otitis media. J Int Adv Oto. 2016;12(1):28-31.

Ojha T. Endoscopic tympanoplasty: is it better than microscopic tympanoplsty? Over experiences. J Mahathma Gandhi Univ Med Sci Tech. 2019;4(2);53-6.

Patel J, Aiyer RG, Gajjar Y, Gupta R, Raval J, Suthar PP. Endoscopic tympanoplasty versus microscopic tympanoplsty in tubotympanic CSOM, a comparative study of 44 cases. Int J Res Med Sci. 2015;3(8):1953-7.