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ObjectiveHere, we aimed to compare the operation time, postoperative pain score, graft healing, graft success rate, cholesteatoma incidence, audiometric outcomes, and complications between endoscopic modified myringoplasty (EMM) and endoscopic typical myringoplasty (ETM).MethodsPatients with unilateral chronic tympanic membrane (TM) perforations undergoing myringoplasty were prospectively randomized to undergo EMM (n = 44) or ETM (n = 45). The operation time, postoperative pain score, graft healing, graft success rate, cholesteatoma incidence, audiometric outcomes, and complications were compared between these groups.ResultsIn total, 89 patients with unilateral chronic perforations were included (EMM group, 44; ETM group, 45). There were significant differences between the EMM and ETM groups in mean pain scores on the day after surgery (1.32 ± 0.56 vs. 2.58 ± 1.16, p < 0.001) and in the mean operation time (18.18 ± 2.43 vs. 51.53 ± 8.28 min, p < 0.001). There were no significant differences in graft success rates (93.18% vs. 88.89%, p = 0.735), pre‐ or postoperative air conduction pure‐tone averages or air bone gaps (ABGs), or changes in ABGs between the groups. However, the difference in graft healing was significant at postoperative week 2 (33/44 vs. 24/45, p = 0.033) but was nonsignificant at postoperative week 4 and month 6. Computed tomography revealed the middle ear and mastoid to be well pneumatized at 12 months in all patients.ConclusionWhile 12‐month graft and audiometric outcomes were comparable between EMM and ETM techniques, patients who underwent EMM had less postoperative pain, shorter operative times, faster healing, and a lower incidence of complications.Level of Evidence1 Laryngoscope, 133:2779–2785, 2023

Objective This study introduces a modified tonsillectomy procedure and evaluates the occurrence of intraoperative and postoperative hemorrhage using the new method. Methods Modified tonsillectomy, defined as coblation revolving tonsillectomy with outside-in dissection, was performed on 104 patients. Results This study enrolled 104 patients (62 males and 42 females), the average age was 23.6 ± 6.8 (range: 16–31) years. The reasons for the procedure were as follows: 58 (55.8%) due to tonsillar hypertrophy, 39 (37.5%) for recurrent tonsillitis, and 7 (6.7%) because of the presence of a benign tumor. The average operation time of bilateral surgery was 13.2 ± 1.9 min. No intraoperative bleeding was encountered in the tonsillar fossa in any of the patients. Pain intensity was 4.1 ± 1.6 on postoperative days 0, 3.9 ± 2.1 on postoperative days 1, and 2.8 ± 1.1 on postoperative days 2. No postoperative hemorrhage which required any additional intervention occurred. Also, no postoperative other complications were encountered. Conclusions Coblation revolving tonsillectomy with outside-in dissection may be effective and safe technique for reducing intraoperative and postoperative hemorrhage.

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