Endoscopic pushtrough technique cartilage myringoplasty. The management of anterior, subtotal or total tympanic membrane perforations can be challenging through a transcanal approach, especially through a narrow canal or with a prominent anterior overhang. A method to avoid postauricular incision, authorkhaled m. Apr 01, 2015 the transcanal microscopeassisted endoscopic myringoplasty had a 100% rate of surgical success for closure of tympanic membrane defects in children. The effect of nitrous oxide on the outcomes of underlay tympanoplasty. Comparison of endoscopic butterflyinlay versus endoscopic. Mokbel and waleed moneir and hossam elsisi and ahmed alsobky, year2015. Thirty patients with a tympanic membrane perforation underwent a transcanal endoscopic cartilaginous myringoplasty, between june 2008 and january 2010. Thus, transcanal endoscopic myringoplasty may be difficult in children aged. Transcanal endoscopic tympanoplasty with tragal perichondrium.
This endoscopic assisted technique allows exquisite views and. Certificate from dean this is to certify that the dissertation entitled a comparative study between endoscopic assisted and microscopic assisted myringoplasty is the bonafide work of dr. Share cases and questions with physicians ulcra medscape consult. Endoscopic transcanal myringoplasty volume 106 issue 6 ahmed elguindy. Comparative study of outcomes of microscopic versus endoscopic myringoplasty raveendra p. Tm in an underlay manner, however, the free perichondrium was elevated and placed lateral to the annulus and exposed eac in an overlay manner fig. In our study we have also used a single flap technique to prepare the bed for the graft material. In tympanoplasty type i or myringoplasty, classically. Endoscopic suspended cartilage myringoplasty for the repair.
Graft failure approximately 10% of operations will result in unsuccessful closure of the hole in the eardrum. Original article comparative study of outcomes of microscopic. Objectiveendoscopic transcanal myringoplasty etm has been an. Tems with tympanoplasty for the management of cholesteatoma and its related lesions of mastoid antrum by dr. Myringoplasty can be technically difficult in the pediatric patients due to the narrowness of the external auditory canal and the generally small size of the ear.
Primary endoscopic surgery for removal of the cholesteatoma and further reconstruction and monitoring of patients. This technique is especially helpful in patients with narrow external canals, anterior defects and bone overhang, when perforations margins are barely, if at all, visible under a microscope. Transcanal endoscopic myringoplasty is a feasible, safe, and effective procedure. The results of endoscopic myringoplasty are comparable to the conventional myringoplasty done.
To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal eac. In majority of the endoscopic transcanal myringoplasty, endomeatal skin flap are not raised because of the technical difficulty with one had only free 12. The aim of this study is to evaluate hearing status in the pre and postoperative state after endoscopic type 1 tympanoplasty and to correlate the improvement with influencing factors like the age of the patient, site. Transcanal endoscopic ear surgery to treat middleear. Microscope gives binocular vision and allow the surgeon to free his both hands for the operative work. By contrast, transcanal endoscopy bypasses the narrowest ear canal and provides a. Endoscopic transcanal myringoplastya study springerlink. Recently, different endoscopes have been used in the performance of ear surgery in general and myringoplasty in particular, and the surgical success of endoscopeassisted myringoplasty ranges between 80 and 100 % 4046. Endoscopic butterfly myringoplasty miringoplastica endoscopica tipo butterfly the best advantage of endoscopy is seeing round the corner and sometimes in myringoplasty its possible to. Minimally invasive transcanal endoscopic ear surgery, endoscopy innovative uses and emerging technologies, somchai amornyotin, intechopen, doi. Tympanoplasty involves eradication of the disease in the middle ear, repair of the perforated tympanic membrane and restoration of hearing.
Objectives to evaluate endoscopic pushthrough technique cartilage myringoplasty results. The results of endoscopic myringoplasty are comparable to the conventional myringoplasty done under operating microscope and there is no significant difference between the gain in ab gap in either group. Pdf aim of this study was to evaluate the role of rigid endoscope in the management of dry. If drug treatment doesnt shrink or eliminate nasal polyps, you may need endoscopic surgery to remove polyps and to correct problems with your sinuses that make them prone to inflammation and polyp development. Three patients had a residual perforation at 2 months after surgery. Endoscopic transcanal approach to remove extensive petrous.
Pdf endoscopic transcanal cartilage myringoplasty for. Patient information myringoplasty handout prepared by dr n agar austin hospital ent registrar 2008 2 specific problems. It is a reasonable approach for repair of anterior perforations of the tympanic membrane. Endoscopic views can provide a wider and more detailed image of the entire annulus by placing the objective lens in the external ear canal. Sheikh shawkat kamal transcanal endoscopic mastoid surgery with tympanoplasty for the management of cholesteatoma and its related lesions of mastoid antrum author dr. Jul 01, 2014 endoscopic vs microscopic myringoplasty. Myringoplasty can be technically difficult, especially in pediatric patients, due to the narrowness of the external auditory canal and the. The outer diameter of the endoscope is important when.
Endoscopic transcanal myringoplasty for anterior perforations. Medical university, chennai, master of surgery branch iv otorhinolaryngology examination to be. The patients who did not have any cholesteatoma or otorrhea in the previous 3 months, and had an air. Moreover, temporalis fascia grafts and myringoplasties.
Mar 21, 2019 endoscopic transcanal myringoplasty for anterior perforations of the tympanic membrane. Transcanal endoscopic myringoplasty is a safe and feasible procedure, with good success rates for tympanic perforation closure and recovery of hearing thresholds. After 4th week of postoperative period, out of 50 cases, 42 cases had intact membrane. Pdf endoscopic transcanal myringoplastya study anoop.
Feb 17, 20 endoscopic butterfly myringoplasty miringoplastica endoscopica tipo butterfly the best advantage of endoscopy is seeing round the corner and sometimes in myringoplasty its possible to. Endaural, transcanal and postauricular approaches are used during myringoplasty and tympanoplasty. A case series in patients with chronic otitis media, treated with transcanal endoscopic tympanoplasty by the technique underover, followed by six months post treatment clinical and audiometric evaluations, in the. Comparative study of endoscope assisted myringoplasty and. An improved myringoplasty technique utilizing fibrin glue and carried out through the external auditory canal was recently introduced. Methods this prospective study was performed on patients with anterior tympanic membrane perforations and endoscopic pushthrough technique cartilage myringoplasty was performed between 2011 and 20. The characteristics, advantages, and disadvantages of this technique are also discussed.
Article information, pdf download for shortterm subjective and. Minimally invasive endoscopic transcanal cartilage myringoplasty is. The perichondrium was free of the cartilage and prepared as a graft. Comparison of endoscopic transcanal myringoplasty and endoscopic type i tympanoplasty in repairing mediumsized tympanic perforations.
Endoscopic cartilage myringoplasty with the removal of a. The microscopic approach has the advantages that both hands are free to perform. The recent change of using endoscope instead of microscope in performing transcanal type 1 tympanoplasty has encouraged us to compare the results of the surgery. Few studies have described endoscopic transcanal myringoplasty for repair of anterior perforations of the tympanic membrane. Endoscopic transcanal myringoplasty the journal of. Single flap otoendoscopic myringoplasty for large central.
Present to your audience start remote presentation. Endoscopic cartilage myringoplasty with inside out elevation. Pdf middle ear surgery is usually performed using a surgical microscope. Minimally invasive transcanal endoscopic ear surgery. The results of endoscopic myringoplasty are comparable to. The objectives of the study are to evaluate the feasibility, results and complications of the endoscopic transcanal cartilaginous myringoplasty. All of the surgeries were performed exclusively under total endoscopic transcanal approach using tragal cartilage as graft, underlay technique. Endoscopic transcanal myringoplasty for tympanic perforations. Minimally invasive transcanal endoscopic ear surgery intechopen.
Mar 01, 20 the objectives of the study are to evaluate the feasibility, results and complications of the endoscopic transcanal cartilaginous myringoplasty. We performed a prospective study in 41 patients with marginal perforations who underwent endoscopic cartilage myringoplasty with the removal of a small rim of eac. Regardless of which was the surgeons dominant hand or the laterality of the ear to be operated upon. Furthermore, in most cases, only one hand is free to perform endoscopic myringoplasty because the other must hold. May 26, 2012 the objectives of the study are to evaluate the feasibility, results and complications of the endoscopic transcanal cartilaginous myringoplasty. The outer diameter of the endoscope is important when performing. This technique is similar to the butterfly technique. Transcanal endoscopic myringoplasty was performed on 25 ears in 21 patients with chronic. Evaluation of hearing status in pre and postoperative. It can be performed and taught in academic services with a residency program in otorhinolaryngology, in addition to conventional surgery using a microscope. Endoscopic cartilage myringoplasty with inside out. Tseng, chihchieh lai, mingtang wu, chiache yuan, shengpo and ding, yifang 2017. The present study depicted the learning curve for endoscopic tympanoplasty and evaluated how many procedures an otologist requires to attain pro.
One hundred sixtyeight ear procedures performed for cholesteatoma using 2 primary techniques. Endoscopic transcanal myringoplasty pdf auris nasus larynx. D, in partial fulfilment of university regulation of the tamil nadu dr. Listing a study does not mean it has been evaluated by the u. Aim of this study was to evaluate the role of rigid endoscope in the management of dry central perforation of the tympanic membrane and to compare the results of endoscopic myringoplasty with that of conventional myringoplasty using microscope. Comparative study of outcomes of microscopic versus endoscopic myringoplasty. Transcanal endoscopic ear surgery to treat middleear choles. This study discusses the method and shortterm results of transcanal endoscopic composite cartilage tympanoplasty for anterior and total perforations by. Jul 23, 2019 endoscopic transcanal myringoplasty pdf auris nasus larynx. Endoscopic transcanal myringoplastya study ncbi nih. Endoscopic transcanal approach to remove extensive petrous cholesteatoma waitsz wt chang, thong j and michael cf tong department of otorhinolaryngologyhead and neck surgery, the chinese university of hong kong, prince of wales hospital, hong kong. In this prospective study, the outcomes of 60 ears of 60 patients 40 male and 20 female who underwent myringoplasty were evaluated. Pdf endoscopic transcanal myringoplastya study researchgate.
Com is a heterogeneous disease, with a transcanak, varied clinical and mhringoplasty spectrum. This aim of this operation is to close a hole or perforation in the eardrum. Being ready to respond may free up time to go over any points you want to spend more time on. Endoscopic transcanal myringoplasty for anterior perforations of the tympanic membrane. Endoscopic overlay tympanoplasty for tm perforation the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Recently, transcanal endoscopic approaches have become popular. In this study using endoscopic guidance myringoplasty done in 50 cases. Endoscopic transcanal myringoplasty for anterior perforations of.
Recent developments in endoscopic cartilage myringoplasty techniques allow reliable and simple repair of anterosuperior perforations. Gadag, ashwini godse, manjunath dandi narasaiah, nisha shetty, prajna l. When compared with the endoscopic pushthrough myringoplasty, the endoscopic butterflyinlay cartilage myringoplasty technique, which is technically easier to perform, does not require packing and has a shorter operating time. Endoscopic overlay tympanoplasty for tm perforation full. Unlimited access to the largest elibrary of professional videos, images, documents, courses. What is the prevalence of clinically significant endoscopic findings in subjects with dyspepsia. Transcanal microscopeassisted endoscopic myringoplasty in.
Pdf total endoscopic transcanal cartilage myringoplasty. The full text of this article is available as a pdf 428k. Shortterm subjective and objective outcomes of patients receiving. A comparative study of endoscopic and microscopic approach. We evaluated the graft take rate and hearing gain of endoscopic cartilage myringoplasty with inside out elevation of a tympanomeatal flap for repairing an anterior tympanic membrane perfo. In endoscopic group there was 90% graft uptake rate as compared to 85% in microscopic group. Meaning endoscopic transcanal myringoplasty should be.
The microscopic approach has the advantages that both hands are free to perform the operation and the operative view is threedimensional. To investigate the feasibility of transcanal endoscopic myringoplasty in the hand of young beginner surgeons who had just completed. Comparison of temporal muscle fascia and tragal cartilage perichondrium in endoscopic type 1 tympanoplasty. In our study we have also used a single flap technique to prepare the bed for. Epub jul endoscopic transcanal myringoplasty for tympanic. The authors first systematically evaluated the clinical parameters, outcomes, and complications of transcanal endoscopic ear surgery used to treat middleear cholesteatoma. Endoscopic tympanoplasty, microscopic tympanoplasty, operative duration.
Patient information myringoplasty handout prepared by dr n agar austin hospital ent registrar 2008 1 what is a myringoplasty. The transcanal microscopeassisted endoscopic myringoplasty had a 100% rate of surgical success for closure of tympanic membrane defects in children. In addition to conventional microscopic myringoplasty, endoscopic myringoplasty has been an emerging technique since the late 1990s. To study and compare the outcomes of the endoscopic versus microscopic approach to myringoplasty in 60 patients. Pdf introduction middle ear surgeries, including myringoplasty. One of the important benefits of an endoscope compared to the microscope is the widefield view of the middle ear afforded by the location of the light source at the tip. Transcanal myringoplasty with total tympanomeatal flap removal for tympanic membrane.
Epub jul endoscopic transcanal myringoplasty for tympanic perforations. Salian department of ent, karnataka institute of medical sciences, hubli, karnataka, india abstract. Comparative study between endoscopic transcanal myringoplasty. Since the 1950s, microscopic myringoplasty has been the standard surgery for repairing a perforated tympanic membrane. Endoscopic suspended cartilage myringoplasty for the. Endoscopic suspended cartilage myringoplasty is a feasible and simple technique with excellent postoperative outcomes and a high graft success rate.