Auris Nasus Larynx. Jun;45(3) doi: / Epub Jul Endoscopic transcanal myringoplasty for tympanic perforations. Question What are the results of endoscopic transcanal myringoplasty for repairing anterior perforations of the tympanic membrane? Findings. To investigate the feasibility of transcanal endoscopic myringoplasty in the hand of young beginner surgeons who had just completed the residency programme.
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Tympanoplasty for closing anterior perforations of the tympanic membrane is considered challenging. The rate of graft success and hearing outcomes for endoscopic transcanal myringoplasty are comparable with those of microscopic myringoplasty for repairing endoscolic perforations of the tympanic membrane.
No mastoid dressing was required. Patients with ossicular chain disease and cholesteatoma were excluded.
Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane.
First, the perforation margin and anterior anulus were visualized through endoscopy. However, partial visualization of the perforation margin significantly prolonged the mean SD operative time complete vs partial, Secondary outcomes included hearing results and prognostic factors. This finding indicates that the wider endoscopic visualization neglected the effect of partial visualization of the perforation margin on the rate of graft success in anterior perforations of the tympanic membrane.
The visualization of the perforation margin complete or partial was not significantly associated with the graft success rate.
To assess the results of endoscopic transcanal myringoplasty for repairing anterior perforations of the tympanic membrane.
Endoscopic transcanal myringoplasty.
Sign in to make a comment Sign in to your personal account. Int J Pediatr Otorhinolaryngol. Back to top Article Information. Get free access to newly published articles. Moreover, the mean preoperative and postoperative air-bone gaps were Regardless of which was the surgeon’s dominant hand or the laterality of the ear to be operated upon, the rigid endoscope was used with the non-dominant hand and the instruments stylus, delicate tissue forceps, and suction cannulas in the dominant hand.
The operative time with partial visualization of the perforation margin was longer than transcanl with complete visualization. All of these reports reveal that endoscopy provides a wider surgical view transcaanal microscopy, particularly in the cases of anterior bony overhangs of the external auditory canal and anterior perforations of the tympanic membrane.
The present study has 2 limitations. We analyzed the association between the rate of graft success and prognostic factors.
Transcanal endoscopic myringoplasty: a case series in a university center
In addition, endoscopy provides a monocular view, which causes the loss of depth perception compared with the binocular view provided through microscopy. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more.
The packing and stitches were removed 1 week postoperatively. Conflict of Interest Disclosures: As for the surgical outcome at postoperative otoscopy, complete closure of the perforation was observed in No significant differences were seen for larger and marginal perforations. Arch Oto Rhino Laryng. COM is a heterogeneous disease, with a wide, varied clinical and pathological spectrum. Most patients were undergoing surgery for the first time; patients undergoing reoperation accounted for 9.
First, this study included a relatively small sample size, resulting in a lack of generalizability of the findings. Get free access to newly published articles Create a personal account or sign in to: The procedure proved to be a possible alternative to myringoplasty under microscopic visualization, considering the surgical results perforation closure and the proportion of audiometric improvement at three months of follow-up.
Dr Tseng had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
This article has been myrkngoplasty by other articles in PMC.
If this margin could be completely observed, visualization was defined as complete; any other visualization was defined as partial. Feasibility and advantages of transcanal endoscopic myringoplasty.
Int J Pediatr Otorhinolaryngol. Mann W, Munker G. The main outcome was the rate of overall graft success of endoscopic transcanal myringoplasty. Repairing anterior perforations of the tympanic membrane has been challenging for otolaryngologists. Patient ears were prepared and draped under sterile conditions without hair shaving. However, there are limitations. The visualization of the perforation margin complete or partial was not significantly associated with the graft success rate.
Endoscopic transcanal myringoplasty.
The tympanomeatal flap was subsequently replaced to its original position. Therefore, the approach, whether it is the traditional microscopic or the endoscopic method, would have little influence on functional and surgical outcomes. We performed preoperative and postoperative audiograms at frequencies of,and Hz to access the closure of the air-bone gap. The tympanomeatal flap was subsequently elevated to the level of the fibrous anulus.