Long-term hearing results in endoscopic sandwich myringoplasty: An innovative Dhulikhel hospital technique

Shrestha, Bikash Lal; Dhakal, A; Kiran, K C Abha; Shrestha, Krishna Sundar; Pradhan, Aakash

doi:10.4103/indianjotol.indianjotol_22_19

Cited by 7 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The age range of the patients was also similar to ours with more patients in the younger age groups. 10,11 Our study had a female preponderance whereas other studies showed males who were affected by the condition undergoing surgery. 11,12 Ear surgery was revolutionized initially by the introduction of the monocular microscope in 1921 and then even further in 1922 by Gunnar Holmgren who is responsible for the development of the binocular microscope.…”

Section: Discussioncontrasting

confidence: 52%

Graft Uptake and Hearing After Endoscopic Palisade Cartilage Myringoplasty at Nepal Medical College Teaching Hospital

Rijal,

Joshi,

Shrestha

et al. 2023

JCMC

View full text Add to dashboard Cite

Background: Chronic otitis media mucosal type is commonly encountered in otorhinolaryngology. Myringoplasty is a common surgery performed to repair the tympanic membrane (TM). Management of subtotal perforation of the TM has become better with the use of endoscopes. The use of cartilage as palisade for repair of the TM has become popular. The aim of the study was to assess graft uptake and hearing after endoscopic palisade myringoplasty. Methods: A prospective study was conducted in the otorhinolaryngology department from April, 2022 to January, 2023. The study included 65 patients, aged 21 years and above diagnosed as chronic otitis media mucosal type, inactive with subtotal perforation and conductive hearing loss. History, clinical examination, otoscopy, tuning fork tests, examination under microscope (EUM) were conducted preoperatively. All patients underwent endoscopic palisade cartilage myringoplasty. Pre-operative and post-operative pure tone audiograms of the patients were done to record the air conduction threshold (ACT), bone conduction threshold (BCT) and air bone gap (ABG). SPSS 16 software was used for analysis of results. The statistical tests used for analysis was paired t-test, level of statistical signiﬁcance was set at the P < 0.05. Results: The mean age of the patients was 28.51±7.20 years with a female preponderance (57.9%). Graft uptake following surgery was 91.9%. There was significant reduction (p<0.001) in the air bone gap postoperatively that suggested improvement in hearing. The mean hearing gain was 13.91±6.79 dB. Conclusions: The use of endoscopic palisade cartilage myringoplasty to correct subtotal perforation has good results in terms of graft uptake and hearing improvement.

show abstract

Section: Discussioncontrasting

confidence: 52%

Graft Uptake and Hearing After Endoscopic Palisade Cartilage Myringoplasty at Nepal Medical College Teaching Hospital

Rijal,

Joshi,

Shrestha

et al. 2023

JCMC

View full text Add to dashboard Cite

show abstract

“…Shrestha et al showed uptake rate 93.3%. in this study the mean preoperative ABG was 27.3 ± 12.5 dB, the mean postoperative ABG on the 12th month follow-up was 17.1 ± 8.5 dB with statistically significant results 26.…”

supporting

confidence: 48%

Outcomes of Endoscopic Myringoplasty

et al. 2022

View full text Add to dashboard Cite

Introduction: The endoscope has diagnostic and therapeutic role in different otological surgeries. It has excellent view of images where there are difficult nooks and corners. The use of tragal cartilage in the repair of tympanic membrane perforation has its own benefit in graft uptake and hearing results whether long term or short term. The main purpose of the present study was to evaluate the long‑term hearing results in patients who underwent endoscopic sandwich myringoplasty with National Medical college & Teaching Hospital, Birgunj. Objective: To evaluate the graft success rate and postoperative hearing gain for central perforations using endoscopic myringoplasty Materials and Methods: This study is a prospective study in 60 patients with central perforations who underwent endoscopic myringoplasty using tragal cartilage. The hearing was assessed by comparing pre‑. with post‑operative air‑bone gap (ABG) and ABG closure in speech frequencies (0.5 kHz, 1 kHz, 2 kHz, and 4 KHz). Results: Of the 60 patients with central perforation included in this study, the graft success rate was 95% (57/60). The graft uptake in 6 months of follow‑up. The postoperative ABG (13.77 ± 4.94dB) was lesser than preoperative ABG (22.38 ± 6.93 dB) with statistically significant results. Conclusion: Endoscopic myringoplasty is a safe procedure with high‑graft uptake rate and good long‑term hearing results.

show abstract

“…3 From thereon and thereafter, there has been many endoscopic ear surgeries being performed in our institution and other institutions of Nepal. [4][5][6] How we started Endoscopic ear surgery?…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Ear Surgery in Dhulikhel Hospital: A decade of Experience

Shrestha

2022

Kathmandu Univ. Med. J.

View full text Add to dashboard Cite

Endoscopic ear surgery is one of the most commonly performed surgeries in Dhulikhel hospital. In the past eleven years, there have been different endoscopic ear surgeries performed with a very good outcome. The main benefit of endoscopic ear surgery is; to let the surgeon see better, proceed with the surgery through the trans-canal, teaching and training of the students. There are some drawbacks of endoscopic ear surgery like the one-handed technique and learning curve. With repeated practice and the help of motion parallax, the trainee can overcome the drawback of the procedure.

show abstract

Long-term hearing results in endoscopic sandwich myringoplasty: An innovative Dhulikhel hospital technique

Cited by 7 publications

References 28 publications

Graft Uptake and Hearing After Endoscopic Palisade Cartilage Myringoplasty at Nepal Medical College Teaching Hospital

Graft Uptake and Hearing After Endoscopic Palisade Cartilage Myringoplasty at Nepal Medical College Teaching Hospital

Outcomes of Endoscopic Myringoplasty

Endoscopic Ear Surgery in Dhulikhel Hospital: A decade of Experience

Contact Info

Product

Resources

About