A comparative study between endoscopic and microscopic type 1 tympanoplasty

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

doi:10.18203/issn.2454-5929.ijohns20220009

Authors

Shaik Abdul Subhan Faruq Department of ENT and Head and Neck Surgery, RIMS Government medical college, Kadapa, Andhra Pradesh, India
Divya Bhadri Sri Department of ENT and Head and Neck Surgery, RIMS Government medical college, Kadapa, Andhra Pradesh, India
Srinivasa Rao Uppala Department of ENT and Head and Neck Surgery, RIMS Government medical college, Kadapa, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20220009

Keywords:

Chronic suppurative otitis media, Tympanoplasty, Myringoplasty

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.

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