The effect of using a PORP to reconstruct the ossicular chain under otoendoscopy with and without a malleus handle

Zhang, Min; Chen, Xiaoyun; Huang, Yideng; Yang, Zifei; Zhang, Yue; Wu, Ximei

doi:10.1080/00016489.2020.1815835

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…The reason may be that due to the limited exposure of the posterior wall of the mastoid through the ear incision and the blind area of the visual field under “direct vision” under the otomicroscopy, the contouring of the mastoid and the lateral wall of the tympanic sinus and the treatment of diseased tissue under otoendoscopy will have obvious advantages. Besides, the otoendoscopy can cross the narrow ear canal and observe deep cavities from multiple angles and in-depth and can clearly enlarge the observation field and comprehensively observe the lesion field, avoiding surgical errors, reducing unnecessary damage, and then improving the efficacy of surgery and minimizing the occurrence of adverse reactions [ 19 ]. However, the otoendoscopy is a 2D imaging, has a small angle of view, and must be operated with one hand; besides, its lens is susceptible to contamination by blood and tissue fragments and loses the field of vision; therefore, it is more difficult to use otoendoscopy surgery alone [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Otomicroscopy Combined with Otoendoscopy Double-Lens Technology-Assisted Tympanic Membrane Repair on Elderly Patients with Chronic Suppurative Otitis Media

Cheng

Shao-hua

Wang

2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To investigate the effect of otomicroscopy combined with otoendoscopy double-lens technology-assisted tympanic membrane repair on elderly patients chronic suppurative otitis media (CSOM). Methods. 120 elderly CSOM patients from January 2017 to July 2019 were selected and divided into the otomicroscopy group (n = 40), the otoendoscopy group (n = 40), and the double-lens group (n = 40) by the random number method. All patients were treated with tympanic membrane repair. The otomicroscopy group was assisted by otomicroscopy, the otoendoscopy group was assisted by otoendoscopy. and the double-lens group was assisted by otomicroscopy combined with otoendoscopy. The three groups of operations status, clinical efficacy, the incidence of adverse reactions, hearing improvement rate, and satisfaction rate with incision after 6 months were compared. Results. The operation time, intraoperative blood loss, hospitalization time, and VAS score of the otoendoscopy group and the double-lens group were all lower than those of the otoendoscopy group, and the operation time of the double-lens group was lower than that of the otoendoscopy group ( P < 0.05 ). The clinical efficacy of the double-lens group was better than that of the otomicroscopy group and otoendoscopy group ( P < 0.05 ). The adverse reaction rate of the otoendoscopy group and the double-lens group was lower than that of the otomicroscopy group, and the average postoperative air-bone conductance of the double-lens group was lower than that of the otomicroscopy group and the otoendoscopy group, and the hearing improvement rate was higher than that of the otomicroscopy and otoendoscopy groups ( P < 0.05 ). The satisfaction rate with postoperative incision in the otoendoscopy group and double-lens group was higher than that in the otomicroscopy group ( P < 0.05 ). Conclusion. The double-lens technology-assisted tympanic membrane repair has an obvious effect on elderly patients with CSOM. Compared with the single-use otomicroscopy, the operation time, intraoperative blood loss, hospitalization time, patient’s dry ear condition, degree of surgical pain, clinical efficacy, adverse reaction rate, hearing improvement rate, and patient’s incision satisfaction of the double-lens technology are better. Compared with the single-use otoendoscopy, the operation time, clinical efficacy, and hearing improvement rate of the double-lens technology are better.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Otomicroscopy Combined with Otoendoscopy Double-Lens Technology-Assisted Tympanic Membrane Repair on Elderly Patients with Chronic Suppurative Otitis Media

Cheng

Shao-hua

Wang

2021

Evidence-Based Complementary and Alternative Medicine

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“…Therefore, partial excision of the malleus handle may result in a nonhealing perforation 7,8 . It is unclear whether the malleus handle affects hearing outcomes after tympanoplasty; the results of some studies suggest that the absence of a malleus handle does not affect postoperative hearing restoration, 9,10 whereas the results of other studies suggest that hearing outcomes are improved when the malleus handle is preserved 11,12 . However, previous studies have focused on small‐to‐medium‐sized perforations with malleus handle preservation 2–8 .…”

Section: Introductionmentioning

confidence: 99%

“… 7 , 8 It is unclear whether the malleus handle affects hearing outcomes after tympanoplasty; the results of some studies suggest that the absence of a malleus handle does not affect postoperative hearing restoration, 9 , 10 whereas the results of other studies suggest that hearing outcomes are improved when the malleus handle is preserved. 11 , 12 However, previous studies have focused on small‐to‐medium‐sized perforations with malleus handle preservation. 2 , 3 , 4 , 5 , 6 , 7 , 8 Small perforations usually heal rapidly 2 , 3 , 4 , 5 , 6 , 7 , 8 and may not accurately reflect the effects of the malleus handle.…”

Section: Introductionmentioning

confidence: 99%

Comparison of healing of acute total tympanic membrane perforation between rats with and without excision of the mallear handle

Lou,

Li,

et al. 2023

Laryngoscope Investig Oto

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ObjectiveWe compared the histological changes and hearing restoration during the healing of acute total tympanic membrane (TM) perforations between Sprague–Dawley (SD) rats with and without excision of the mallear handle.Materials and methodsBilateral, acute, and total TM perforations were created in 36 male SD rats. The mallear handle was preserved in the left ear (handle‐preserved ear [HPE]) and excised from the right ear (handle‐excised ear [HEE]). Endoscopical examination, auditory brainstem response (ABR) thresholds, histopathological, and scanning electron microscope (SEM) analysis were performed.ResultsEndoscopic photographs showed that all perforations in the 18 SD rats were closed. The mean closure times were 6.83 ± 0.85 and 8.50 ± 0.71 days in the HPE and HEE groups, respectively (p < .001). SEM images showed radial arrangement of fiber bundles in a single direction in HPEs, although normal arrangement was not achieved. In contrast, HEEs showed disorganized arrangement. At 1 month after perforation closure, the ABR thresholds at high frequencies were significantly higher in the HEE group than in the HPE group (p = .029 and p = .017 for 16 and 32 kHz, respectively). Additionally, the changes in ABR threshold were significantly different at high frequencies (p = .011 and p = .017 for 16 and 32 kHz, respectively) before and 1 month after perforation closure between the HPE and HEE groups, although the differences were not statistically significant at the remaining frequencies.ConclusionAlthough the malleus handle may not affect the closure of total perforation in SD rats, it contributes to accelerate the perforation closure by possible guide the migration of proliferative epithelial cell on the upper halves of the annulus. Additionally, resection of the malleus handle impairs high frequency hearing recovery following spontaneous closure of the TM.

show abstract

The effect of using a PORP to reconstruct the ossicular chain under otoendoscopy with and without a malleus handle

Cited by 2 publications

References 19 publications

Efficacy of Otomicroscopy Combined with Otoendoscopy Double-Lens Technology-Assisted Tympanic Membrane Repair on Elderly Patients with Chronic Suppurative Otitis Media

Efficacy of Otomicroscopy Combined with Otoendoscopy Double-Lens Technology-Assisted Tympanic Membrane Repair on Elderly Patients with Chronic Suppurative Otitis Media

Comparison of healing of acute total tympanic membrane perforation between rats with and without excision of the mallear handle

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