COMPARISON BETWEEN MICROSCOPIC AND ENDOSCOPIC ASSISTED TYMPANOPLASTY- A BEGINNER-OTOLOGIST’S PERSPECTIVE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 43
Abstract
BACKGROUND Middle ear surgery including Tympanoplasty, has traditionally been performed using a surgical microscope. As in other surgical fields, there is a trend towards minimally invasive intervention in the field of otology by the use of endoscopes. It was felt that budding otologists should adapt to the newer technology and acquaint themselves with both methods of ear surgery. With this goal, this study was conducted to compare the results of microscopic and endoscopic assisted type I tympanoplasty surgery in cases of chronic otitis media mucosal disease as performed by a senior resident. MATERIALS AND METHODS This was a prospective, randomised, controlled study conducted by the Dept. of ENT, HNS at a tertiary care centre in Kolkata, India, from January 2016 to December 2017. 50 patients undergoing type I tympanoplasty were classified into two groups; endoscopic tympanoplasty (ET, n= 25) and microscopic tympanoplasty (MT, n= 25). The sample size required was taken for convenience. RESULTS Need for canaloplasty was felt in 8 cases under the MT group, while none was required in the ET group. CONCLUSION Endoscopic tympanoplasty is a safe alternative to microscopic method with comparable results in hearing and graft uptake. Its use and practice must be encouraged for all prospective otologists.
Authors and Affiliations
Murari M, Mallick Ajay
Keywords
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- EP ID EP549196
- DOI 10.14260/jemds/2018/1032
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