Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Isaacson, Glenn; Harounian, Jonathan A.

doi:10.1016/j.wjorl.2017.09.002

Cited by 10 publications

(7 citation statements)

References 24 publications

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“… 13 Using this technique in a pediatric population, Karatas described a success rate of 91.4 % (53/58) 14 and Akyigit in 93.7 % (30/32), 15 while Isaacson obtained intact tympanic membrane in 55 % of the sample (17/31), microperforations in 32 % (10/31) and larger perforations in 13 % (4/31). 16 In the present study, the identification of any perforation at the end of the postoperative follow-up was considered as an unsuccessful operation, regardless of the size and its association with the graft.…”

Section: Discussionmentioning

confidence: 96%

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Endoscopic tympanoplasty with inlay cartilage graft in an university hospital

Pontes‐Madruga

Neto

Suzuki

et al. 2021

Brazilian Journal of Otorhinolaryngology

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Section: Discussionmentioning

confidence: 96%

“…The cartilage graft donor site, the tragus, has low morbidity and shows better cosmetic results. 14 , 16 In the literature, the success rates of inlay cartilage tympanoplasty do not differ from the underlay techniques. 3 , 9 , 26 …”

Section: Discussionmentioning

confidence: 99%

Endoscopic tympanoplasty with inlay cartilage graft in an university hospital

Pontes‐Madruga

Neto

Suzuki

et al. 2021

Brazilian Journal of Otorhinolaryngology

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“…The number of subjects collected for meta‐analysis was 1004, including 513 patients belonging to EES and 491 patients under MES, and the included studies were published between 2015 and 2017. Nineteen studies were analyzed qualitatively, which were all case series studies, except for one retrospective cohort study (Table ) . The included studies were published between 1995 and 2017, and a total of 406 patients were evaluated.…”

Section: Resultsmentioning

confidence: 99%

Comparison of endoscopic and microscopic ear surgery in pediatric patients: A meta‐analysis

et al. 2018

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Objectives Recently, the endoscope has been increasingly introduced for middle‐ear surgery. To evaluate the postoperative outcomes of endoscopic ear surgery (EES) in pediatric patients, we did a qualitative analysis with a systematic review and quantitative analysis with meta‐analysis of available literature. Methods Studies reporting the comparative surgical outcomes of EES in pediatric patients were systematically reviewed by searching the MEDLINE, PubMed, and Embase databases from database inception through 2017. The selected articles included clinical studies conducted with at least 30 subjects and at least one postoperative parameter, including residual or recurrent cholesteatoma and graft success in tympanoplasty. Two investigators independently reviewed all studies and extracted the data using a standardized form. A meta‐analysis was performed using a random‐effects model and qualitative review was performed on the smaller studies. Results Ten studies were identified as appropriate for quantitative meta‐analysis and 19 studies for qualitative analysis. In the meta‐analysis, residual or recurrence rate of cholesteatoma was significantly lower in the EES group than in the microscopic ear surgery (MES) group (odds ratio [OR]: 0.56, 95% confidence interval [CI]: 0.38‐0.84, P = .005). The graft success rate of tympanoplasty was not statistically different between EES and MES groups (OR: 0.72, 95% CI: 0.41‐1.26, P = .249). In the qualitative analysis, most of the studies reported similar audiological outcomes after tympanoplasty and success rate of cholesteatoma removal between the two groups. Conclusions It appears that EES reduces the risk of residual cholesteatoma in children and that the success of perforation closure is equivalent to MES. Laryngoscope, 129:1444–1452, 2019

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“…James (6) looked at the outcomes of 250 pediatric patients and found an overall closure rate of 88%, again with no difference between the TEES and MT groups. Multiple studies that look at both pediatric and adult patients have found similar closure rates between 72 and 97% (7–12), with no differences between TEES and MT.…”

Section: Discussionmentioning

confidence: 96%

Endoscopic Versus Microscopic Pediatric Tympanoplasty: Is There a Difference Between Closure Rates and Hearing Outcomes?

et al. 2022

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Objective: To compare closure rates and hearing outcomes of microscopic and endoscopic tympanoplasty in pediatric patients. Study Design: Retrospective chart review. Setting: Tertiary university medical center. Patients: Pediatric patients who underwent tympanoplasty surgery by a fellowship-trained neurotologist between 2010 and 2019 with a minimum of 2 months of follow-up, a tympanic membrane perforation, and no preoperative cholesteatoma. Interventions: Transcanal endoscopic tympanoplasty or microscopic tympanoplasty (MT) surgery. Main Outcome Measures: The primary outcome is postoperative closure of the tympanic membrane perforation, assessed using otomicroscopy at the last follow-up appointment. Secondary outcomes include operative time and changes in the air-bone gap (ABG) and pure-tone average (PTA). Results: Two hundred eleven tympanoplasty operations were analyzed: 121 in the transcanal endoscopic ear surgery (TEES) group and 90 in the MT group. Tympanic membrane closure rates were no different between the two groups (TEES, 82.6%; MT, 88.9%; p = 0.24), and no significant association was found on multivariable analysis (TEES: odds ratio, 0.8; p = 0.61). Both groups showed improvements in the 4-month PTA and ABG and the 12-month PTA, but the 12-month ABG only improved in the TEES group ( p < 0.01). The TEES group had a shorter average operative time (109.8 versus 123.5 min; p = 0.03) and less need for a postauricular incision (2.5% versus 93.3%; p < 0.01). Conclusion:In pediatric tympanoplasty, TEES gives similar membrane closure and hearing outcomes as the microscopic technique, with less operative time and less need for a postauricular incision.

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Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Cited by 10 publications

References 24 publications

Endoscopic tympanoplasty with inlay cartilage graft in an university hospital

Endoscopic tympanoplasty with inlay cartilage graft in an university hospital

Comparison of endoscopic and microscopic ear surgery in pediatric patients: A meta‐analysis

Endoscopic Versus Microscopic Pediatric Tympanoplasty: Is There a Difference Between Closure Rates and Hearing Outcomes?

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