Tympanoscope-Assisted Myringoplasty

Karhuketo, Tapio S.; Ilomäki, Jaana H.; Puhakka, H

doi:10.1159/000055773

Cited by 60 publications

(64 citation statements)

References 10 publications

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“…Scope has to be held in one hand and other hand is free to operate and this becomes cumbersome when there is excessive bleeding, which can be managed easily in microscope assisted ear surgery where one hand can be used to suction the blood and simultaneously the other hand can be used to operate. We confirm these observations which were reported in studies by Tarabichi [1] and Karhuketoet al [12]. This problem can be solved by developing a stand for endoscope which will fix it in desired position so that both the hands will be free to operate.…”

Section: Discussionsupporting

confidence: 90%

Comparative Study of Endoscope Assisted Myringoplasty and Microscopic Myringoplasty

Lakpathi¹,

Reddy²,

Bhatt³

2016

Indian J Otolaryngol Head Neck Surg

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To study and compare the outcomes of the endoscopic versus microscopic approach to Myringoplasty in 60 patients. In this prospective study, the outcomes of 60 ears of 60 patients (40 male and 20 female) who underwent Myringoplasty were evaluated. The age range of the patients was 15-55 years. Group 1 underwent Myringoplasty with an endoscopic technique (n = 30), and Group 2 underwent Myringoplasty with the conventional microscopic technique (n = 30). A temporalis fascia graft was used in both groups. The outcomes were analyzed in terms of the hearing gain, duration of surgery, graft success rate and advantages and disadvantages of endoscopic versus microscopic approach to Myringoplasty. In both groups, the postoperative air-bone gap (ABG) was significantly lower than the preoperative ABG. There were no significant differences between the preoperative and postoperative ABG values (in dB) in either group. The mean operative duration in Group 1 (96.32 min) was significantly lower than that in Group 2 (136.09 min). In the preoperative evaluation of patients in Group 1 had small, medium, large perforations are 16 (53 %), 12 (40 %), and 02 (7 %), respectively. In Group 2, had small, medium, large perforations are 12 (40 %), 15 (50 %), and 03 (10 %), respectively. Perforations (wet ear) were detected in 10 (33 %), 06 (20 %), and 04 (12 %) of the patients in Group 1 at postoperative months 1, 3, and 6, respectively. Perforations (wet ear) were detected 09 (30 %), 06 (20 %) and 03 (10 %) patients in Group 2 at postoperative months 1, 3, and 6. At 6 months postoperatively, there were smaller perforations and reduced rate of perforations as compared to 1st and 3rd month in Group 1 and Group 2. The difference between the perforation conditions (larger vs. smaller) was not significant in either group. The preoperative and postoperative increases in the ABG were associated. At the end of 6 months all (100 %) patients in the Group 1 rated their cosmetic result as excellent as compared in the Group 2. Unlike the microscope, the endoscope is easily transportable and hence is ideal for use in ear surgery camps conducted in remote places. In patients undergoing Myringoplasty, especially if the external ear canal is narrow and the anterior canal wall is prominent, the endoscopic and microscopic approaches appear to give equal results in terms of easy visualization of the entire tympanic membrane and no requirement for extra intervention to evaluate the ossicular system. A shorter operative duration and excellent cosmetic result is an advantage of the endoscopic Myringoplasty technique.

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Section: Discussionsupporting

confidence: 90%

Comparative Study of Endoscope Assisted Myringoplasty and Microscopic Myringoplasty

Lakpathi¹,

Reddy²,

Bhatt³

2016

Indian J Otolaryngol Head Neck Surg

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“…Excessive bleeding can be managed easily in microscope assisted ear surgery where one hand can be used to suck the blood and simultaneously the other hand can be used to operate; but only one hand is available to do both the jobs in endoscopic ear surgery. We confi rm these observations which were reported in studies by Tarabichi M [3] and Karhuketo TS, Ilomaki JH, Puhakka HJ [6]. This problem can be solved by developing a stand for the scope which will fi x it in the desired position so that both the hands will be free to operate.…”

Section: Discussionsupporting

confidence: 85%

A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty

Harugop

Mudhol

Godhi

2008

Indian J Otolaryngol Head Neck S

109

126

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Objective to determine the advantages and disadvantages of the endoscope as compared to the microscope in myringoplasty surgery and to compare the results of both groups.Methods Between January 2003 and September 2006, 100 patients underwent myringoplasty, 50 were endoscope assisted and 50 were microscope assisted. Results of surgery were compared at the end of six months post operation. ResultsIn the endopscope group 82% of patients had a successful outcome and in the microscope group 86% of patients had a successful outcome. ConclusionIn myringoplasty surgery the endoscope has several advantages and a few disadvantages. The surgical outcome of endoscope assisted myringoplasty was comparable to the conventional microscope assisted myringoplasty, but in terms of cosmesis and post operative recovery patients in the endoscope group had better results.

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“…9 Karchuketo TS studied the endoscopic assisted myringoplasty in 30 ears of 29 patients with different sized perforation & concluded that the post-operative air bone gap was less than 10 dB in 90% cases. 10 Hence endoscopic assisted myringoplasty is reliable and simple procedure with the benefit of minimal trauma to the healthy tissue.…”

Section: Complication Ratementioning

confidence: 99%

Comparison of surgical outcomes of tympanoplasty assisted by conventional microscopic method and endoscopic method

Shoeb¹,

Gite²,

Bhargava³

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: The introduction of the operating microscope has significantly enhanced the outcome of tympanoplasty by improving the accuracy of the technique. The operating microscopy provides a magnified image in straight line; hence the surgeon can’t visualize the deep recesses of the middle ear in single operating field. This is overcome by use of rigid endoscope for tympanoplasty. In rigid endoscopy view is better but surgeons 2 hands are not free so manipulation here is difficult.Methods: 30 cases of safe CSOM from each group viz microscopic assisted (MES) & endoscopic assisted (EES) were selected operated by full cuff (superiorly based tympanomeatal flap technique) and compared for graft uptake, hearing improvement & complications.Results: Graft uptake rate was 93.33% in both groups. In our study the pre operative mean air bone gap of the patients was 37.23+5.79 db after surgery at 6 months came down to 17.17+3.31 db hence after calculating the mean air bone gap closure it came down to be 20.4+4.85. Which showed a significant improvement in the hearing (p value 1.493E-23 which is less than 0.05). 6.67% cases from both groups showed failure of graft uptake.Conclusions: The graft uptake, hearing improvement, Complications produced by each of the techniques in large, subtotal, and anterior moderate perforations by each technique is comparable i.e. both techniques have same results.

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Tympanoscope-Assisted Myringoplasty

Cited by 60 publications

References 10 publications

Comparative Study of Endoscope Assisted Myringoplasty and Microscopic Myringoplasty

Comparative Study of Endoscope Assisted Myringoplasty and Microscopic Myringoplasty

A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty

Comparison of surgical outcomes of tympanoplasty assisted by conventional microscopic method and endoscopic method

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