Comparative Study Between Microscopic and Endoscopic Tympanoplasty Type I

Abstract

Tympanoplasty is surgical reconstruction of tympano-ossicular system and includes—Canalplasty, Meatoplasty, Myringoplasty and Ossiculoplasty. To analyse and compare the intraoperative and postoperative aspects and the outcomes of conventional postauricular microscopic tympanoplasty and permeatal endoscopic tympanoplasty this study was conducted on 50 patients undergoing type I tympanoplasty (25 patients divided into two groups; group A—microscopic tympanoplasty and group B—endoscopic tympanoplasty). Advantages, disadvantages and results were compared between the two groups. Success rates and hearing improvement were comparable in both groups while intraoperative ease, postoperative morbidity and operative time was seen superior in endoscopic group. Although, endoscopic technique being minimally invasive yet has disadvantages such as single handed difficult instrumentation, frequent cleaning of scope and thus a steep learning curve. In conclusion permeatal endoscopic tympanoplasty can be considered as a good alternative to the conventional microscopic tympanoplasty.

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References

  1. 1.

    Bedajit RK, Mallik P, Kumar P, Devi HP, Sudhiranjan T, Singh OP et al (2015) Endoscopic transcanal mastoidectomy with tympanoplasty. Natl J Otorhinolaryngol Head Neck Surg 3(2):10–11

    Google Scholar 

  2. 2.

    Patel J, Aiyer RG, Gajjar Y, Gupta R, Raval J, Suthar PP (2015) Endoscopic tympanoplasty versus microscopic tympanoplasty in tubotympanic CSOM: a comparative study of 44 cases. Int J Res Med Sci 3(8):1953–1957

    Article  Google Scholar 

  3. 3.

    Akyigit A, Sakallioglu O, Karlidag T (2017) Endoscopic tympanoplasty. J Otol 12(2):62–67

    Article  Google Scholar 

  4. 4.

    Raj A, Meher R (2001) Endoscopic transcanal myringoplasty E A study. Indian J Otolaryngol Head Neck Surg 53(1):47–49

    CAS  Article  Google Scholar 

  5. 5.

    Ghaffar S, Ikram M, Zia S, Raza A (2006) Incorporating the endoscopeinto middle ear surgery. Ear Nose Throat J 85:593–596

    Article  Google Scholar 

  6. 6.

    Huang T-Y, Ho K-Y, Wang L-F, Chien C-Y, Wang H-M (2016) A comparative study of endoscopic and microscopic approach type 1 tympanoplasty for simple Chronic Otitis media. J Inter Adv Otol 12(1):28–31

    Article  Google Scholar 

  7. 7.

    Patel J, Aiyer RG, Gajjar Y, Gupta R, Raval J, Suthar PP (2015) Endoscopic tympanoplasty vs microscopic tympanoplasty In tubotympaniccsom: a comparative study of 44 cases. Int J Res Med Sci 3(8):1953–1957

    Article  Google Scholar 

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Correspondence to Rashmi Pal.

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Pal, R., Surana, P. Comparative Study Between Microscopic and Endoscopic Tympanoplasty Type I. Indian J Otolaryngol Head Neck Surg 71, 1467–1473 (2019). https://doi.org/10.1007/s12070-018-1555-5

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Keywords

  • Permeatal endoscopic tympanoplasty
  • Minimally invasive tympanoplasty
  • Type I tympanoplasty