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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This article has been cited by other articles in PMC. Endoscopic myringollasty of chronic otitis media and tympanoplasty. Arch Oto Rhino Laryng. Conclusion Transcanal endoscopic myringoplasty is a safe and feasible procedure, with myringop,asty success rates for tympanic perforation closure and recovery of hearing thresholds. Endoscopic type 1 tympanoplasty in pediatric patients using tragal cartilage.
Our study revealed that wider endoscopic visualization can neglect the factor of partial visualization of the perforation margin through otoscopy, which increases the rate of graft success in anterior perforations of the tympanic membrane.
Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane.
There were no cases that required surgical conversion to retroauricular approach or use of trascanal microscope in this series.
The packing and stitches were removed 1 week postoperatively. This is an open-access article distributed under the terms of the Creative Commons Attribution License. Mann Endooscopic, Munker G.
We used the temporalis fascia or the tragal perichondrium as graft material. The results of endoscopic myringoplasty are comparable to the conventional myringoplasty done under operating microscope and there is no significant difference between the gain in A-B gap in either group. Most patients were undergoing surgery for the first time; patients undergoing reoperation accounted for 9.
We used an otoscope to evaluate the visualization of the perforation margin preoperatively. Comparison of visualization of the middle ear by microscope and endoscopes of 30? Create a free personal account to access your subscriptions, sign up for alerts, and more.
A case series study, based on the chart review of patients submitted to transcanal endoscopic myringoplasty in the period from January of to October of Endoscopic versus microscopic approach to type I tympanoplasty. The operative time with partial visualization of the perforation margin was longer than that with complete visualization.
Ensoscopic in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. The graft was then positioned and the perforation was closed.
Endoscopic transcanal myringoplasty.
See More About Otolaryngology Otology. When large perforations were observed, we performed endoscopic type 1 tympanoplasty with elevation of the tympanomeatal flap. The tympanomeatal flap was subsequently elevated to the level of the fibrous anulus. The main outcome was the rate of overall graft success of endoscopic transcanal myringoplasty. The perforation margin was circumferentially freshened with a pick or a sickle knife. However, our technique is simpler because postauricular incision, canalplasty, and general anesthesia are not required.
Moreover, endoscopic myringoplasty still requires more training experience. Copyright American Medical Association. Get free access to newly published articles.
Patients were followed up for 6 months, and final follow-up was completed on January 1, Feasibility and advantages of transcanal endoscopic myringoplasty. To describe a case series of transcanal endoscopic myringoplasty performed in a university service.
We retrospectively reviewed the medical records of patients who underwent endoscopic transcanal myringoplasty for perforations of the tympanic membrane. However, visualization of the perforation margin, whether complete or partial, had no significant association with the rate of graft success.
Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane
Conflicts of interest The authors declare no conflicts of interest. Thus, endoscopic transcanal myringoplasty should be considered for repairing anterior perforations of the tympanic membrane.
Loop overlay tympanoplasty for anterior or subtotal perforations. The postauricular incision was covered with a gauze dressing, whereas the tragal incision was packed with a cottonoid ball placed in the orifice of the external auditory canal.