Comparison of endoscopic transcanal and microscopic approach in Type 1 tympanoplasty

Gülşen, Secaattin; Baltacı, Adem

doi:10.1016/j.bjorl.2019.07.005

Cited by 16 publications

(42 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…100% graft uptake was seen in endoscopic group and 95.8% in microscopic group in the study done by Choi et al [9]. Similar was the finding by Deshmukh et al [7] and Gulsen et al [8] studies. In contrast, Maran study found better graft uptake rate in microscopic (96.67%) than endoscopic tympanoplasty group (90%) after 3 months follow-up, but the difference was statistically insignificant [11].…”

Section: Discussionsupporting

confidence: 81%

“…Deshmukh et al (n = 60) had 28.85±10.87 years mean age of study subjects [7]. While it was 45.4 years in endoscopic (n = 67) and 54.8 years in microscopic group (n = 59) in Gulsen et al study [8]. In Choi et al study, study subjects were older than other studies with mean age of 54.4±11.7 years and 53.7±12.6 years in endoscopic (n = 25) and microscopic tympanoplasty group (n = 48) respectively [9].…”

Section: Discussionmentioning

confidence: 86%

“…While in Deshmukh et al study, gender distribution was equal [7]. There were no statistically significant differences in gender, mean ages or perforation size between the two groups in the studies by Huang et al [10], Zhang et al [6], Gulsen et al [8] and Choi et al [9].…”

Section: Discussionmentioning

confidence: 87%

“…Huang et al, in their study found mean operative time in endoscopic approach (50.4 min) significantly less as compared to the microscopic approach (75.5 min) [10]. In Gulsen et al study also, duration of surgery was significantly shorter in endoscopic group (34.9±11.2 min) as compared to microscopic group (52.7± 6.9 min) [8]. A shorter operative time in endoscopic approach reduces exposure to anaesthetic agents and associated side effects.…”

Section: Discussionmentioning

confidence: 94%

See 3 more Smart Citations

Comparison of Surgical Outcome of Endoscopic with Microscopic Type I Tympanoplasty in Chronic Otitis Media: A Randomized Controlled Trial

Deosthale

Khadakkar

Dhote

et al. 2021

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Aim of the study was to compare the surgical outcome of endoscopic with microscopic Type 1 tympanoplasty in dry, mucosal type of chronic otitis media with respect to graft uptake rate, hearing gain and duration of surgery. This randomized controlled trial of 3 years was carried out at Tertiary Care Hospital of Central India. Total 80 cases of mucosal type of chronic otitis media posted for Type I tympanoplasty were included in the study. They were randomly divided into two groups viz. Endoscopic tympanoplasty and microscopic tympanoplasty with 40 patients in each group. Chi-square test was used to compare the qualitative results and student's t-test was used to compare quantitative results with a level of significance of p B 0.05. Intraoperatively, widening of external auditory canal and auxiliary incision were required in 45% and 47.5% patients of microscopic group respectively. Mean operative time for endoscopic tympanoplasty (62.5 ±14.94 mins) was less as compared to microscopic tympanoplasty (74.88 ± 15.83 mins). Graft uptake rate was 95% and 92.5% in endoscopic and microscopic tympanoplasty groups respectively with statistically insignificant difference (p = 0.32). The preoperative mean air bone gap in both the groups was improved significantly 6 months postoperatively. Air bone gap closure was of 13.21± 4.37 dB in endoscopic group and 12.54 ± 4.14 dB in microscopic group with statistically insignificant difference. Endoscope provides superior visualization of hidden areas of middle ear cavity and has shorter operative time than microscopic tympanoplasty with comparable surgical and functional outcomes. hence endoscopic tympanoplasty can be a good option to microscopic surgery.

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 94%

See 2 more Smart Citations

Comparison of Surgical Outcome of Endoscopic with Microscopic Type I Tympanoplasty in Chronic Otitis Media: A Randomized Controlled Trial

Deosthale

Khadakkar

Dhote

et al. 2021

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Saves surgery time without the need to regularly adjust the patient›s head or doing a canaloplasty. (24) Sekaattin Gulsen and others stated that transcanal endoscopic tympanoplasty is reliable alternate to Microscopy tympanoplastyin management of COM, with comparable success rate of graft uptake and outcomes of hearing (25) Similarly, Amit et alin their study concluded that even novices and junior surgeons can used this procedures as it is safe reliable and with good outcomes, hence surgeons, can apply endoscopic procedure in this way without fear of serious complication or adverse outcomes. (17)…”

Section: Discussionmentioning

confidence: 94%

The Outcome of Endoscopic Assisted Underlay Tragal Cartilage Myringoplasty

Hameed Dikhil Hussein,

Rahman Agab Aljanabi,

Sajad Youns Fadhil

et al. 2021

MLU

View full text Add to dashboard Cite

show abstract

Application of Machine Learning to Predict Hearing Outcomes of Tympanoplasty

et al. 2022

View full text Add to dashboard Cite

ObjectiveThis retrospective study aimed to evaluate the performance of machine learning techniques in predicting air‐bone gap after tympanoplasty compared with conventional scoring models and to identify the influential factors.MethodsWe reviewed the charts of 105 patients (114 ears) with chronic otitis media who underwent tympanoplasty. Two numerical scoring systems (middle ear risk index [MERI] and ossiculoplasty outcome parameter staging [OOPS]) and three algorithms (random forest [RF], support vector machine [SVM], and k nearest neighbor [kNN]) were created. Experimental variables included age, preoperative air‐bone gap, soft‐tissue density lesion in the tympanic cavity in CT, otorrhea, surgical history, ossicular bone problems in CT, tympanic perforation location, perforation type (central or marginal), grafting material, smoking history, endoscopy use, and the operator whose experience was 20 years or longer, or shorter. Binary classification, postoperative air‐bone gap ≤15 or >15 dB, and multiclass classification, classification into seven categories by 10 dB, were performed, and the percentages of correct prediction were calculated. The importance of features in the RF model was calculated to identify influential factors.ResultsThe percentages of correct prediction in binary classification were 62.3%, 72.8%, 81.5%, 81.5%, and 81.5% in MERI, OOPS, RF, SVM, and kNN, respectively, and those in multiclass classification were 29.8%, 21.9%, 63.1%, 44.7%, and 50% in the same order. The RF model suggested larger preoperative air‐bone gap, and older age could make the postoperative air‐bone gap larger.ConclusionThe machine learning techniques, especially the RF model, are promising methods for precise postoperative air‐bone gap prediction.Level of Evidence4 Laryngoscope, 133:2371–2378, 2023

show abstract

Comparison of endoscopic transcanal and microscopic approach in Type 1 tympanoplasty

Cited by 16 publications

References 19 publications

Comparison of Surgical Outcome of Endoscopic with Microscopic Type I Tympanoplasty in Chronic Otitis Media: A Randomized Controlled Trial

Comparison of Surgical Outcome of Endoscopic with Microscopic Type I Tympanoplasty in Chronic Otitis Media: A Randomized Controlled Trial

The Outcome of Endoscopic Assisted Underlay Tragal Cartilage Myringoplasty

Application of Machine Learning to Predict Hearing Outcomes of Tympanoplasty

Contact Info

Product

Resources

About