Bilateral same-day endoscopic transcanal cartilage tympanoplasty: initial results

Daneshi, Ahmad; Jahandideh, Hesam; Daneshvar, Ali; Safdarian, Mahdi

doi:10.1016/j.bjorl.2016.04.014

Cited by 11 publications

(11 citation statements)

References 18 publications

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“…Very high success rates (94%–96%) are claimed in small series. 5 , 6 , 7 Our experience confirmed the advantages of the endoscopic approach, but careful post-operative follow-up suggested a lower rate of permanent tympanic closure than claimed by endoscopic ear surgery enthusiasts.…”

Section: Introductionsupporting

confidence: 61%

Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Isaacson

Harounian

2017

World j. otorhinolaryngol.-head neck surg.

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ObjectivesTo evaluate the success of pediatric endoscopic and endoscopically assisted transcanal cartilage inlay tympanoplasty.MethodsRetrospective review of single surgeon experience.ResultsDuring a 3 year period, 30 children underwent 31 endoscopic or endoscopically assisted transcanal tympanoplasties by the senior surgeon using tragal cartilage/perichondrial inlay grafts. There were 22 boys and 8 girls, ranging in age from 3.5 to 17 years (median 6 years). All tragal cartilage grafts (31/31; 100%) survived. Twenty-seven surgeries (27/31; 82%) resulted in an intact drum (17/31; 55%) or a microperforation (10/31; 32%). In four cases (4/31; 13%) significant perforations formed in previously unaffected portions of the drum.ConclusionTranscanal endoscopic cartilage inlay tympanoplasty offers a practical, minimally invasive approach to tympanoplasty for children of any age. It avoids postauricular or endaural incisions, tympanomeatal flap elevation, and canalplasty. Graft survival is uniform. Microperforation at the graft margins remained in 1/3 of children. Technical modifications may lead to higher rates of tympanic closure.

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Section: Introductionsupporting

confidence: 61%

Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Isaacson

Harounian

2017

World j. otorhinolaryngol.-head neck surg.

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“…Daneshi A et al (2017) described in their study that graft success rate was 94.44%, mean air bone gap improved from 13.88dB pre operatively to 9.16dB post-operatively. 8 In our study graft success rate is 96.05%.…”

Section: Discussionmentioning

confidence: 47%

Hearing assessment and status of tympanic membrane pre and post-operated tympanoplasty in cases of CSOM.

Khan¹,

Tahir²,

Ali³

et al. 2020

TPMJ

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Objectives: To compare assessment of hearing by PTA and status of tympanic membrane by oto-endoscope, pre-operative and post-operative tympanoplasty. Study Design: Retrospective/ Comparative study. Setting: Two different hospitals in Karachi. 1-Social Security Landhi Hospital Karachi. 2- Al-Tibri medical College & Hospital, Old Thana, Malir, Karachi. Period: July 2017 to June 2018. Material & Methods: 76 patients were included for this study with both genders who had dry tympanic membrane perforations. Age ranges between 18 to 40 years. Made two groups A (pre-operative and B (post-operative). In group-A, examined tympanic membrane perforations. 45 patients had small size (25%) perforations, 15 medium size (50%) and 16 subtotal (75%). Hearing assessment done by Pure tone Audiometry (PTA). After 1. 2 and 3 months post-tympanoplasty, examined grafted tympanic membrane and compared pre-operated status of tympanic membrane with post-operated status of tympanic membrane. PTA done after 3 months and compared it with pre-operated PTA. Results: Examination of tympanic membrane before tympanoplasty performed, perforations noted in all patients with different sizes in their tympanic membrane. PTA (pure tone audiometry) advised before tympanoplasty to all patients. Weber test performed on 1st post-operated day, it was lateralized towards operated ear which indicate the safety of inner ear. Post-operated 1, 2 and 3 months examined tympanic membrane with oto-endoscope. Intact grafted tympanic membrane seen in 70 patients after 1 months. After 2 months 72 patients had intact grafted tympanic membrane and after 3 months 73 patients out of 76 patients had intact grafted tympanic membrane. PTA also advised after 3 months of tympanoplasty and compared it with pre-operated pure tone audiometry (PTA). Air conduction (AC) decreased 15.39dB after tympanoplasty. AB-gap reduction 13.95dB seen in 73 patients which showed hearing improvement. P value is < 0.001 significant. Conclusion: Tympanoplasty is a good and safe procedure for hearing improvement by reduction of AB-gap as well as provide protection of middle ear mucosa from infections due to closure of perforations of tympanic membranes.

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“…The authors did not find a significant difference in graft take and hearing improvement between the results of unilateral and bilateral myringoplasty. Daneshi et al 20 calculated a 94.4% success rate, with an improvement in ABG from 13.8 to 9.6 dB in patients having undergone bilateral simultaneous endoscopic transcanal cartilage tympanoplasty. Karataş and Kaskalan 21 performed bilateral inlay cartilage tympanoplasty using tragal cartilage from one ear and reported an 86.3% success rate, with an ABG of <20 dB and 10 dB postoperatively in 98% (65 patients) and 56% (37 patients) of 66 patients, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic transcanal middle ear surgery, which is minimally invasive, is a practical, time-saving, and conservative technique compared with conventional surgical techniques. 2,20,21 Apart from tragal incision, this technique does not require retroauricular skin incision, canal drilling, or hair shaving. In our study, the average length of operation time was 61.6 minutes for the unilateral group, which is consistent with existing studies on the cited subject.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Same-Day Endoscopic Myringoplasty Using Tragal Cartilage From One Ear

Baklacı¹,

Kuzucu

Güler

et al. 2019

Ear Nose Throat J

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The aim of this study is to investigate the outcomes of bilateral same-day endoscopic myringoplasty using tragal cartilage from one ear in patients with bilateral chronic otitis media. In this retrospective study, medical records of 62 (84 ears) patients aged between 18 and 65 years who underwent endoscopic myringoplasty at our center between January 2015 and December 2017 were evaluated. Patients were classified into 2 groups according to surgical procedure they received: unilateral myringoplasty (group 1) and bilateral same-day myringoplasty (group 2). The comparisons were made between groups in terms of anatomical graft success and functional outcomes. There were 40 patients in the unilateral group (group 1) and 22 patients in the bilateral same-day group (group 2). The graft success rates were 92.5% and 93.2% for groups 1 and 2, respectively ( P = .904). The mean preoperative air–bone gaps (ABGs) were 21.1 ± 7.1 and 20.5 ± 6.7 dB, respectively, whereas the mean postoperative ABGs were 8.1 ± 2.7 dB and 7.9 ± 3.0 dB, respectively. The difference between pre- and postoperative ABGs for the entire group was statistically significant ( P < .001). Mean hearing gain was 12.5 ± 11.0 dB and 15.6 ± 10.1 dB in groups 1 and 2, respectively, ( P = .183). Postoperative ABG was ≤10 dB in 33 (82.5%) and 36 (81.8%) ears in groups 1 and 2, respectively. The functional success rates were similar in both groups ( P = .582). The average lengths of operation time were 61.6 ± 12.5 minutes and 110.1 ± 25.2 minutes for groups 1 and 2, respectively. Bilateral same-day endoscopic myringoplasty using tragal cartilage from one ear seems to be a safe and satisfactory procedure with a good satisfactory success rate.

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Bilateral same-day endoscopic transcanal cartilage tympanoplasty: initial results

Abstract: Bilateral endoscopic transcanal cartilage tympanoplasty can be considered as a safe minimally invasive procedure that can be performed in a same-day surgery. It reduces the costs and operation time and is practical with a low rate of postoperative complications.

Cited by 11 publications

References 18 publications

Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Hearing assessment and status of tympanic membrane pre and post-operated tympanoplasty in cases of CSOM.

Simultaneous Bilateral Same-Day Endoscopic Myringoplasty Using Tragal Cartilage From One Ear

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