Endoscopic Type I Tympanoplasty in 70 Patients with Chronic Otitis Media: A Preliminary Report
ABSTRACT Objective: To evaluate the preliminary surgical results of Endoscopic Type I Tympanoplasty among patients with inactive chronic otitis media without ossicular pathology. Methods: Design: Prospective Series Setting: Tertiary Government Hospital Participants: Seventy patien...
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| Autores principales: | , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/96fdd414124b4b06bde7ea5f3d2300a6 |
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| Sumario: | ABSTRACT
Objective: To evaluate the preliminary surgical results of Endoscopic Type I Tympanoplasty
among patients with inactive chronic otitis media without ossicular pathology.
Methods:
Design: Prospective Series
Setting: Tertiary Government Hospital
Participants: Seventy patients with inactive mucosal chronic otitis media (COM) with air bone gap (ABG) of ≤ 40 dB on the preoperative audiogram scheduled to undergo Type I Tympanoplasty between July 2018 and December 2020 were enrolled.
Results: Seventy-three (73) ears were evaluated. The overall rate of graft uptake was 95.9% at 12 weeks. There was a statistically significant (p<.001) improvement in hearing on comparison of pre-operative (25.74 ± 7.34 dB) and post-operative (14.82 ± 6.55 dB) air bone gap. The duration of surgery was less than one hour in 76.7% and 77.2 % patients experienced only mild post[1]operative pain.
Conclusion: Endoscopic tympanoplasty can provide good results with respect to graft uptake and hearing gain with short surgical duration and minimum postoperative morbidity. Longer follow up of at least 6 months (for graft uptake) and preferably not less than 12 months (for hearing results) may confirm our preliminary findings
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