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
ISSN: 2637-7780Volume3 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