Endoscopic vs Microscopic Myringoplasty: A Comparative Study of 100 Cases

JOURNAL TITLE: Journal of Medical Academics

Author
1. Ashwani Sethi
2. Urvashi Mishra
3. Daljeet Kaur
4. Deepika Sethi
ISSN
DOI
10.5005/jp-journals-10070-0072
Volume
4
Issue
1
Publishing Year
2021
Pages
4
Author Affiliations
    1. Department of Otorhinolaryngology, Jaipur Golden Hospital, New Delhi, India
    1. Department of Otorhinolaryngology-Head Neck Surgery, BSA Hospital and Medical College, New Delhi, India
    1. Department of ENT, Dr BSA Medical College and Hospital, New Delhi, India
    1. Department of ENT, Army College of Medical Sciences, Base Hospital, New Delhi, India
  • Article keywords
    Endoscopic, Microscopic, Myringoplasty, Postaural approach, Temporalis fascia

    Abstract

    Introduction: The surgical procedure of myringoplasty is performed for the repair of tympanic membrane perforations. This study aims to compare endoscopic myringoplasty with microscopic myringoplasty surgery based on uptake of graft, hearing improvement in terms of pure tone audiograms performed preoperatively and postoperatively, complications in the postoperative period, and subjective cosmetic results. Materials and methods: Between January 2019 and December 2019, 100 patients were subjected to myringoplasty, 50 performed endoscopically and 50 performed microscopically. Results were compared 3 months following the surgery. Results: This article reveals that there was no statistically significant difference between the two groups regarding the success rate. In this study, the endoscopic myringoplasty group shows fewer incidences of postoperative pain and better cosmetic results. Conclusion: Most of the disadvantages of the microscope can be overcome by an endoscope by virtue of its wide-angled telescopic and magnified view. However, the endoscope has the disadvantages of a comparative lack of depth perception and one-handed technique. These can be easily overcome with practice. Thus, endoscopic myringoplasty may be a good alternative to microscopic myringoplasty. Clinical significance: The study gives significant insight into the comparative outcomes of endoscopic and microscopic myringoplasty.

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