A Comparative Study of Endoscopic and Microscopic Approach Type 1 Tympanoplasty for Simple Chronic Otitis Media

Huang, Tzu‐Yen; Ho, Kuen‐Yao; Wang, Ling‐Feng; Chien, Chen‐Yu; Wang, Hsun-Mo

doi:10.5152/iao.2015.1011

Cited by 69 publications

(91 citation statements)

References 15 publications

(14 reference statements)

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“…Our primary search yielded a total of 8700 records. In the screening of the records by title, abstract and full‐text, we found 18 articles which met the eligibility criteria . We found two publications with identical cohorts of patients; therefore, we excluded the recently published one .…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies including 1179 interventions were deemed eligible for inclusion . Accrued results, in which endoscopic type I tympanoplasty was as effective as microscopic type I tympanoplasty in a homogenous dataset, indicated a 90.5% graft uptake rate in the endoscopic and 88.3% success rate in the microscopic group (OR: 1.21, CI: 0.82‐1.77; I 2 = 0.0%, P = 0.910) (Figure ).…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen authors published data regarding audiological outcomes . We excluded four studies, due to no or insufficient data provided .…”

Section: Resultsmentioning

confidence: 99%

“…Nine of the included studies reported data on the incidence and severity of perioperative complications . Altogether the endoscopic approach proved to be much safer.…”

Section: Resultsmentioning

confidence: 99%

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Endoscopic type I tympanoplasty is as effective as microscopic type I tympanoplasty but less invasive—A meta‐analysis

Pap

Tóth

Gede

et al. 2019

Clinical Otolaryngology

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Background Endoscopic type I tympanoplasty was originally introduced in the 1990s, and the extensive spread of this practice can be easily observed. The conventional technique performed involves the repair of a tympanic membrane perforation, and is defined as microscopic type I tympanoplasty. Objective of Review The aim of this study was the comparison of postoperative outcomes of both the endoscopic and the microscopic type I tympanoplasty. Type of Review We conducted a meta‐analysis in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐analysis (PRISMA) guidelines. Search Strategy A systematic literature search was performed in the databases of PubMed, Embase, Cochrane Library, Clarivate Analytics‐Web of Science, ClinicalTrials.gov, World Health Organization Library, and Scopus by inserting, ‘myringoplasty OR (tympanoplasty AND perforation)’ into the search query. We applied only a ‘human’ filter. We excluded non‐English studies. Additional records were identified by checking the references of relevant studies. Evaluation Method Comparative studies were included in our analysis. We calculated the pooled odds ratio (OR) with 95% confidence interval (CI) for dichotomous outcomes and weighted mean difference (WMD) with a 95% CI for continuous outcomes. Additionally, we assessed the risk of bias and estimated the quality of evidence for each outcome. Results Our systematic search yielded 16 studies (involving 1179 interventions), eligible for analysis. The pooled graft uptake rate (OR: 1.21, CI: 0.82‐1.77; I2 = 0.0%), the postoperative hearing results (WMD = −1.13; 95% CI: −2.72‐0.45; I2 = 78.1%) and the operation time (WMD = −21.11; 95% CI: −42.60‐0.38; I2 = 99.3%), were all comparable amongst the two techniques. In contrast, the endoscopic type I tympanoplasty outperforms when regarding the pooled canaloplasty rate (OR = 7.96; 95% CI: 4.30‐14.76; I2 = 0.0%, P = 1.000) and features an increase in desirable cosmetic results (OR = 19.29; 95% CI: 11.37‐32.73; I2 = 0.0%, P = 0.839), when compared with the microscopic approach. Conclusions Based on our meta‐analysis, the surgical outcomes of endoscopic type I tympanoplasty in terms of graft uptake rate, postoperative hearing results and operation time were comparable to the microscopic type I tympanoplasty. In regards to cosmetics, an increase in desirable results was achieved in the endoscopic group, particularly the incidence of canaloplasty which proved to be significantly lower.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Fifteen authors published data regarding audiological outcomes . We excluded four studies, due to no or insufficient data provided .…”

Section: Resultsmentioning

confidence: 99%

“…Nine of the included studies reported data on the incidence and severity of perioperative complications . Altogether the endoscopic approach proved to be much safer.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic type I tympanoplasty is as effective as microscopic type I tympanoplasty but less invasive—A meta‐analysis

Pap

Tóth

Gede

et al. 2019

Clinical Otolaryngology

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“…[6] In the study by Huang TY et al, the average operation time in microscopic group was 75.5±20.4 minutes, compared to 50.4±13.4 minutes in endoscopic group. [14] The difference in the operating time may depend upon the surgeon and his/her expertise, however it is the general observation that time taken in the endoscopic group is significantly lower in comparison to the microscopic group.…”

Section: Post Operative Painmentioning

confidence: 99%

A Comparative Study to Compare the Outcomes of Myringoplasty (Endoscopic Versus Microscopic)

Saggu¹,

Kuchhal²,

Rawat³

2018

AIMDR

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Background: The aim of this study is to compare the outcomes of myringoplasty using the microscope and the endoscope. Methods: This was a prospective study carried out in the department of otorhinolaryngology of Dr Susheela Tiwari Government Hospital, Haldwani. Results & Conclusion: There was no statistical difference in both the groups in term of graft uptake and post operative hearing outcome, however the endoscopic approach took considerably less time, had less post operative pain and a better cosmetic result.

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Pain After Ear Surgery: A Prospective Evaluation of Endoscopic and Microscopic Approaches

et al. 2020

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Objectives/Hypothesis Assumed advantages of a minimally invasive endoscopic transmeatal approach in ear surgery are less postoperative pain, faster healing, and preservation of functional anatomy. We evaluated pain after ear surgery and compared endoscopic transmeatal, microscopic endaural, and retroauricular approaches. Study Design Prospective cohort study. Methods A prospective evaluation of pain during 3 weeks after ear surgery was performed. Three groups were defined: endoscopic transmeatal, microscopic endaural, and retroauricular. Data from 20 fully completed questionnaires (Brief Pain Inventory–Short Form) per group were analyzed with Bayesian and frequentist statistics. Results For all approaches, low pain scores were found, not exceeding 4 on a scale of 0 to 10. Analysis of the worst, least, and average pain scores documented per 24 hours showed no statistically significant difference nor equality between groups. With Bayesian statistics, a Bayes factor of 1.07, 0.25, and 0.51 was found, respectively. With frequentist statistics a p value of .092, .783, and 0.291 was found, respectively. Small, but statistically significant, differences were found for sleep, natural sleeping position, normal work, and pain medication taken. The location of pain correlates with the incision site. Conclusions The results of this study show that the surgical approach has no clinically relevant influence on postoperative pain after ear surgery. The statistically significant differences on natural sleeping position, sleep, normal work, and amount of pain medication taken are small and should be interpreted with caution. Therefore, these should not be decisive factors in the choice of surgical approach in ear surgery. Level of Evidence 3 Laryngoscope, 131:1127–1131, 2021

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A Comparative Study of Endoscopic and Microscopic Approach Type 1 Tympanoplasty for Simple Chronic Otitis Media

Cited by 69 publications

References 15 publications

Endoscopic type I tympanoplasty is as effective as microscopic type I tympanoplasty but less invasive—A meta‐analysis

Endoscopic type I tympanoplasty is as effective as microscopic type I tympanoplasty but less invasive—A meta‐analysis

A Comparative Study to Compare the Outcomes of Myringoplasty (Endoscopic Versus Microscopic)

Pain After Ear Surgery: A Prospective Evaluation of Endoscopic and Microscopic Approaches

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