Original scientific paper
https://doi.org/10.20471/acc.2022.61.s4.4
Endoscopic Ear Surgery in Croatia – Initial Results of Total Endoscopic Transcanal Myringoplasty
Mislav Malić
orcid.org/0000-0003-3260-5146
; Department of ENT and Head & Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Mislav Gjurić
; Department of ENT and Head & Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Abstract
The aim of this study was to show clinical outcome in 56 patients with tympanic
membrane perforation operated on by total endoscopic transcanal myringoplasty. Out of the total of
74 patients operated on exclusively endoscopically, we identified 56 patients in whom tympanoplasty
type I (myringoplasty) was performed. In 43 patients (45 ears), myringoplasty was performed in a
standard transcanal fashion with lifting of the tympanomeatal flap, and in 13 patient butterfly myringoplasty
was performed. The size and position of perforation, surgery duration, hearing status and
closure of the perforation were evaluated. Perforation closure was obtained in 50 of 58 ears (86.21%).
The mean surgery duration was 62.69±22.56 minutes in both groups. Hearing improved significantly,
with the preoperative mean air-bone gap of 20.41±9.29 dB improving to the postoperative mean airbone
gap of 9.05±7.77 dB. No major complications were recorded. Our results of graft success rate
and hearing outcomes are comparable with those of microscopic myringoplasties but without the need
for external incisions and with reduced surgical morbidity. Hence, we recommend total endoscopic
transcanal myringoplasty as the method of choice for tympanic membrane perforation regardless of
its size and location.
Keywords
Type 1 tympanoplasty; Endoscopic ear surgery; Endoscopic myringoplasty; Tympanic membrane perforation; Chronic otitis media
Hrčak ID:
292360
URI
Publication date:
31.10.2022.
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