Tympanic membrane perforation in children: Endoscopic type I tympanoplasty, a newly technique, is it worthwhile?

Nassif, Nader; Berlucchi, Marco; Zinis, Luca Oscar Redaelli de

doi:10.1016/j.ijporl.2015.08.025

Cited by 51 publications

(67 citation statements)

References 27 publications

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“…It is difficult to handle bleeding issues in the small space like ear with one hand is with endoscope but in ear surgery like tympanoplasty there are less bleeding issues so endoscopic tympanoplasty technique is still preferred method of tympanoplasty. 46 With use of endoscope operative time is reduced. 39 Also it gives better comfort in paediatric patients.…”

Section: Verses Microscopic Tympanoplastymentioning

confidence: 99%

Overview of tympanoplasty techniques and results

Chavan

Ingole

Birajdar

2017

Int J Otorhinolaryngol Head Neck Surg

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<p>The objective of this article is to overview about the changing techniques of tympanoplasty surgery and increase in the anatomical and functional success rate of surgeries. Introduction of endoscope in ear surgeries is time saving. Endoscopes are helpful to access hidden areas which was difficult with the help of microscope such as facial recesses, sinus tympani, extension of posterior-superior retraction pockets, etc. Also various modifications done in the techniques of using graft material for tympanoplasty surgery are reviewed in terms of graft acceptance and improvement of hearing. Articles reviewed are research articles, original articles and review articles published in pub med indexed journals. Because of Newer techniques in ear surgeries, tympanoplasty is becoming day care surgery. Also newer techniques are with cosmetic view and gives maximum post-operative hearing using minimal instrumentation. Efforts are taken to review the tympanoplasty surgical technique and its results.</p><p> </p>

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Section: Verses Microscopic Tympanoplastymentioning

confidence: 99%

Overview of tympanoplasty techniques and results

Chavan

Ingole

Birajdar

2017

Int J Otorhinolaryngol Head Neck Surg

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“…separately reported significantly lower operating time when endoscopy was used. [1516] With the endoscopy group, hospital stay was found to be shorter and graft take success rate was slightly better. [16] While some have reported better improvements in the postoperative air bone gap (ABG) in the endoscopy group, others found no significant difference in the postoperative ABG in the two groups.…”

Section: Discussionmentioning

confidence: 99%

“…[1516] With the endoscopy group, hospital stay was found to be shorter and graft take success rate was slightly better. [16] While some have reported better improvements in the postoperative air bone gap (ABG) in the endoscopy group, others found no significant difference in the postoperative ABG in the two groups. [151718] Compared to the microscope technique, the endoscopic technique was found to be more conservative, better at disease clearance while preserving the ossicular integrity resulting in less morbidity and fewer complications.…”

Section: Discussionmentioning

confidence: 99%

Extending otology services to rural settings: Value of endoscopic ear surgery

Salisu

Jibril

2016

Ann Afr Med

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Introduction:Few centers, mainly located in urban settings offer otological surgical services, yet majority of patients requiring these services are rural based and are generally unable to access these centers with resulting disease chronicity and complications. This paper aims to describe the access of otological surgical services by a rural population.Methodology:This is a retrospective study of patients who accessed otological services at three secondary health institutions and one tertiary referral institution. All patients requiring ear surgery over a 4-year period were studied. The initial 2 years without ear endoscopic surgery was compared with the 2 years when ear endoscopic surgery was introduced. Hospital records were studied and relevant data were extracted.Results:Six hundred and nine ears required surgery over 4 years. Age ranged from 3 to 62 years, with a ratio of 1.4 males: 1 female. During the initial 2 years, all patients were referred from the three secondary health institutions to the urban-based tertiary institution for microscopic ear surgery, 94% failed to proceed on the referral. In the second 2 years, 34% were considered suitable for endoscopic ear surgery, of which 78% accepted and had surgery within the locality. Of the 66% referred, only 5% proceeded on the referral.Conclusion:With operator training and investment in portable ear endoscopy set, bulk of ear surgery needing magnification can be treated in the rural setting. This represents a most feasible means of extending the service to the targeted population.

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“…With the development of endoscopic ear surgery, conventional microscope-based approaches have gradually been replaced by endoscopic myringoplasty. The endoscope allows all edges of anterior and subtotal perforations to be viewed, even when the ear canal is narrow and/or protruding [5,6,16]. It can sometimes be difficult to attain the anterior margin via a microscopic transcanal/endaural approach.…”

mentioning

confidence: 99%

“…Some authors maintain that endoscopic myringoplasty is feasible when the difference between the diameter of the endoscope and that of the narrowest region of the EAC is more than 0.5 mm [20]. In addition, transcanal endoscopic myringoplasty is minimally invasive; neither a postauricular incision nor canaloplasty is required [5,6,[16][17][18][19][20]. Tseng et al [5] reported an overall graft success of 93% (55 of 59 patients) 6 months postoperatively; the mean follow-up time was 11.7 months (standard deviation 8.1 months).…”

mentioning

confidence: 99%

Minimally invasive endoscopic transcanal cartilage myringoplasty is the treatment of choice for repair of anterosuperior perforations

Lou

2017

Eur Arch Otorhinolaryngol

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Tympanic membrane perforation in children: Endoscopic type I tympanoplasty, a newly technique, is it worthwhile?

Cited by 51 publications

References 27 publications

Overview of tympanoplasty techniques and results

Overview of tympanoplasty techniques and results

Extending otology services to rural settings: Value of endoscopic ear surgery

Minimally invasive endoscopic transcanal cartilage myringoplasty is the treatment of choice for repair of anterosuperior perforations

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