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Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media
INTRODUCTION: Operations on the tympanic membrane of the middle ear, myringoplasty, and tympanoplasty are now widely accepted, and attempts are underway all over the world to standardize the surgical techniques. This study aimed to compare postoperative outcomes of endoscopic and microscopic cartila...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Mashhad University of Medical Sciences
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7515622/ https://www.ncbi.nlm.nih.gov/pubmed/33014902 http://dx.doi.org/10.22038/ijorl.2020.44015.2453 |
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author | Daneshi, Ahmad Daneshvar, Ali Asghari, Alimohamad Farhadi, Mohammad Mohebbi, Saleh Mohseni, Mohammad Yazdani, Nasrin Mohammadi, Shabahang Hosseinzadeh, Farideh |
author_facet | Daneshi, Ahmad Daneshvar, Ali Asghari, Alimohamad Farhadi, Mohammad Mohebbi, Saleh Mohseni, Mohammad Yazdani, Nasrin Mohammadi, Shabahang Hosseinzadeh, Farideh |
author_sort | Daneshi, Ahmad |
collection | PubMed |
description | INTRODUCTION: Operations on the tympanic membrane of the middle ear, myringoplasty, and tympanoplasty are now widely accepted, and attempts are underway all over the world to standardize the surgical techniques. This study aimed to compare postoperative outcomes of endoscopic and microscopic cartilage myringoplasty in patients suffering from chronic otitis media (COM). MATERIALS AND METHODS: This clinical trial study compared 130 patients with COM who underwent transcanal endoscopic myringoplasty by repairing perforation using auricular concha cartilage under general anesthesia (n=75) and conventional repairing method by postauricular incision and tympanomeatal flap elevation under microscopic surgery (n=55). RESULTS: According to the results, there was no significant difference between the two groups in terms of hearing gain 1, 6, and 12 months after surgery (P=0.063); however, higher hearing gain scores were observed in the endoscopic group. Moreover, lower recovery time and post-operative pain were reported in patients who underwent the endoscopic approach, compared to those who treated with the conventional repairing method (P<0.001). CONCLUSION: Endoscopic myringoplasty technique is a safe and effective way to improve hearing loss as much as the conventional method. However, due to the lower recovery time and post-operative pain, it seems to be the method of choice in myringoplasty surgery. |
format | Online Article Text |
id | pubmed-7515622 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Mashhad University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-75156222020-10-01 Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media Daneshi, Ahmad Daneshvar, Ali Asghari, Alimohamad Farhadi, Mohammad Mohebbi, Saleh Mohseni, Mohammad Yazdani, Nasrin Mohammadi, Shabahang Hosseinzadeh, Farideh Iran J Otorhinolaryngol Original Article INTRODUCTION: Operations on the tympanic membrane of the middle ear, myringoplasty, and tympanoplasty are now widely accepted, and attempts are underway all over the world to standardize the surgical techniques. This study aimed to compare postoperative outcomes of endoscopic and microscopic cartilage myringoplasty in patients suffering from chronic otitis media (COM). MATERIALS AND METHODS: This clinical trial study compared 130 patients with COM who underwent transcanal endoscopic myringoplasty by repairing perforation using auricular concha cartilage under general anesthesia (n=75) and conventional repairing method by postauricular incision and tympanomeatal flap elevation under microscopic surgery (n=55). RESULTS: According to the results, there was no significant difference between the two groups in terms of hearing gain 1, 6, and 12 months after surgery (P=0.063); however, higher hearing gain scores were observed in the endoscopic group. Moreover, lower recovery time and post-operative pain were reported in patients who underwent the endoscopic approach, compared to those who treated with the conventional repairing method (P<0.001). CONCLUSION: Endoscopic myringoplasty technique is a safe and effective way to improve hearing loss as much as the conventional method. However, due to the lower recovery time and post-operative pain, it seems to be the method of choice in myringoplasty surgery. Mashhad University of Medical Sciences 2020-09 /pmc/articles/PMC7515622/ /pubmed/33014902 http://dx.doi.org/10.22038/ijorl.2020.44015.2453 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Daneshi, Ahmad Daneshvar, Ali Asghari, Alimohamad Farhadi, Mohammad Mohebbi, Saleh Mohseni, Mohammad Yazdani, Nasrin Mohammadi, Shabahang Hosseinzadeh, Farideh Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media |
title | Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media |
title_full | Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media |
title_fullStr | Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media |
title_full_unstemmed | Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media |
title_short | Endoscopic Versus Microscopic Cartilage Myringoplasty in Chronic Otitis Media |
title_sort | endoscopic versus microscopic cartilage myringoplasty in chronic otitis media |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7515622/ https://www.ncbi.nlm.nih.gov/pubmed/33014902 http://dx.doi.org/10.22038/ijorl.2020.44015.2453 |
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