Endoscopic permeatal “push-through” myringoplasty: hearing gain and graft uptake

Abstract Background Endoscopic myringoplasty allows full visualization of the external ear canal, tympanic membrane, and middle without need to reposition patient’s head. The endoscope accessing hidden areas structures not properly viewed by microscope such as sinus tympani, facial recess, hypotympanum. It also provides sharp, magnified image shortens duration surgery. postoperative pain morbidity are reduced hence hospital stay. aim this work was evaluate efficacy endoscopic-assisted permeatal transperforation “push-through” assessing graft take rate hearing results. Our study included twenty patients (14 females 6 males) with chronic suppurative otitis media cholesteatoma that underwent myringoplasty. Results case considered '”successful'” if there complete healing membrane improvement hearing. Graft uptake success rates were 85% P -value 0.132. Average air-bone gap (A-B gap) preoperative 18.20 dB; average A-B 1-month 7.75 dB. Conclusion transcanal provided operability it avoids retroauricular skin incision minimizes surgical procedures expose areas. There is less bleeding, a shorter operating time, morbidity, minimal care.