Endoscopic Tympanoplasty in Patients with Tympanic Membrane Perforation

Yueqi Wang*, Yao Qin, Zhe Chen, Caifeng Xia, Yi Zhang and Yuhe Liu

Department of Otolaryngology, Head & Neck Surgery, Peking University First Hospital, China

^*Correspondance to: Yueqi Wang 

 PDF  Full Text DOI: 10.25107/2474-1647.2799

Abstract

Repairing the perforations of the tympanic membrane, devising a simple and effective technique for performing the repair is crucial. The present study is to evaluate the efficacy of endoscopic transcanal myringoplasty for repairing perforations of the tympanic membrane. The medical record review included 43 patients who underwent endoscopic transcanal myringoplasty from March 2018 to November 2019 at Peking University First Hospital (Beijing, China). Patients with ossicular chain disease and cholesteatoma or inadequate follow-up were excluded. Patients were followed up for 1 month, and final follow-up was completed on January 2020. The main outcome was the rate of overall graft success after endoscopic transcanal myringoplasty. Secondary outcomes included hearing results and prognostic factors. The study sample included the medical records of 43 cases (25 males [59%]; 18 females [41%]; mean [SD] age, 43.2 [7.8] years) who underwent endoscopic transcanal myringoplasty. Overall, 42 patients (98%) had a successful graft at 1 postoperative month. Moreover, the mean preoperative and postoperative air-bone gaps were 16.9 (9.3) and 5.6 (6.6) dB, respectively, revealing a significant improvement of 11.6 dB (Cohen d, 1.27; 95% CI, 90-1.63; P<0.001, paired t test) in the air-bone gap. Twenty patients (46%) had preoperative air-bone gaps of less than 20 dB, whereas 42 patients (98%) had postoperative air-bone gaps of less than 20 dB.

Keywords

Endoscope; Tympanic membrane perforation; Tympanoplasty

Cite the article

Wang Y, Qin Y, Chen Z, Xia C, Zhang Y, Liu Y. Endoscopic Tympanoplasty in Patients with Tympanic Membrane Perforation. Clin Surg. 2020; 5: 2799..