Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- General Surgery
- Minimally Invasive Surgery
- Pediatric Surgery
- Cardiovascular Surgery
- Gastroenterological Surgery
- Robotic Surgery
- Bariatric Surgery
- Obstetrics Surgery
Abstract
Citation: Clin Surg. 2020;5(1):2799.Research Article | Open Access
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..