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Experiments in Rhinology & Otolaryngology

Is Endoscopic Tympanoplasty a Better Alternative for Small Central Perforations? A Tertiary Care Experience<

  • Open or CloseRenu Rajguru*

    Department of ENT, INHS Ashwini, Mumbai, Maharashtra, India

    *Corresponding author: Renu Rajguru, Department of ENT, INHS Ashwini,Mumbai, Maharashtra, India

Submission: August 24, 2022;Published: September 23, 2022

DOI: 10.31031/ERO.2022.03.000560

ISSN: 2637-7780
Volume3 Issue2


Introduction: Traditional approaches to tympanoplasty involve the use of a microscope. However, with the advent of endoscopes and HD cameras, Endoscopic tympanoplasty has appeared as an alternate to Microscopic tympanoplasty. Our study was aimed at assessing the success rates of endoscopic tympanoplasty in small dry central perforations of pars tensa.
Materials and methods: A total of 49 patients were enrolled in this study who underwent endoscopic myringoplasty and the surgical outcome was analysed in terms of graft uptake and post-op Air Bone gap closure for a duration of six months.
Results: Among the study population, 45 participants (91.84%) had an intact neotympanum at the end of 06 months, 2 participants (4.08%) had residual perforation and 2 (4.08%) recurrent perforations due to URTI. The mean pre-op air-bone gap was 23.63dB±3.9dB in the study population with a minimum of 16dB and maximum of 31dB (95% CI 22.43 to 24.83), whereas the mean post-op air-bone gap was 13.84 dB±2.79 dB, minimum being 8 dB and maximum being 20 dB (95% CI 12.98 to 14.69). The difference between the pre op and post op air bone gap was statistically significant (P value <0.001).
Conclusion: We conclude that endoscopic myringoplasty is an acceptable alternative to conventional microscopic myringoplasty in terms of surgical outcomes and graft uptake, shorter operating time, better visualisation, better cosmesis and reduced postoperative pain.

Keywords:Endoscopic tympanoplasty; Microscopic tympanoplasty; Surgical outcomes

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