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Comparison of endoscopic transcanal myringoplasty and endoscopic type I tympanoplasty in repairing medium-sized tympanic perforations.

Authors :
Tseng, Chih-Chieh
Lai, Ming-Tang
Wu, Chia-Che
Yuan, Sheng-Po
Ding, Yi-Fang
Source :
Auris Nasus Larynx. Dec2017, Vol. 44 Issue 6, p672-677. 6p.
Publication Year :
2017

Abstract

<bold>Objective: </bold>The tympanomeatal flap elevation technique has been used in tympanoplasty for decades; however, this procedure has disadvantages. In recent years, endoscopic transcanal myringoplasty (ETM) has been increasingly practiced and has yielded positive results.This study compares the efficacy of ETM and endoscopic type I tympanoplasty (ETT) in repairing medium-sized perforations of the tympanic membrane.<bold>Methods: </bold>This retrospective medical record review included patients undergoing surgery for medium-sized perforations of the tympanic membrane from January 1, 2013 to August 1, 2015. We divided our patients into 2 groups: the ETM group and ETT group. The main outcome measure was comparison of the graft take rates and hearing results between ETM and ETT.<bold>Results: </bold>A total of 113 patients were enrolled in this study; of these patients, 64 underwent ETM and 49 received ETT. The overall graft take rates and improvement of air-bone gaps were comparable between the groups. However, the patients in the ETM group had shorter operative times and fewer follow-up visits over 3 months than those in the ETT group did.<bold>Conclusion: </bold>We recommend that ETM (instead of ETT) be used for repairing medium-sized perforations of the tympanic membrane. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
03858146
Volume :
44
Issue :
6
Database :
Academic Search Index
Journal :
Auris Nasus Larynx
Publication Type :
Academic Journal
Accession number :
124937217
Full Text :
https://doi.org/10.1016/j.anl.2016.12.007