Endoscope-assisted myringoplasty.
نویسندگان
چکیده
INTRODUCTION To date, myringoplasty conducted under the operating microscope has been found to have its limitations. With the introduction of the endoscope into other branches of surgery, there have been attempts at its utilisation in otology. METHODS Endoscope-assisted myringoplasty was carried out in 50 patients aged 18-45 years using the temporalis fascia graft. The middle ear was examined through perforation in order to exclude cholesteatoma. RESULTS The overall success rate of the graft uptake and improvement in conductive deafness as air-bone gap closure was achieved in 80 percent of cases. CONCLUSION Endoscopic myringoplasty was found to be equally effective, less morbid and very cost-effective in small central perforations. However, it is not applicable in all cases, especially in those with large perforations.
منابع مشابه
A Prospective Study Comparing the Results of Endoscope Assisted Versus Microscope Assisted Myringoplasty
Objective: To assess the operative time, post operative pain, graft uptake and audiological gain in the group of the patients undergoing the endoscope assisted and the microscope assisted myringoplasty. Setting: Tertiary referral hospital. Subjects: The study was prospective in nature and comprised of 100 patients suffering from the chronic otitis media inactive mucosal disease. Patients attend...
متن کاملThe outer diameter of the endoscope is important when performing endoscopic transcanal myringoplasty.
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How I do it? Endoscopic modified inlay butterfly cartilage perichondrium myringoplasty.
Though the microscope has helped a lot in otological surgical procedure but it has same optical properties for the last three decades.1 Thus, it has its own limitation as it provides a magnified image along a straight line (Fig 1).2 Meanwhile, the introduction of endoscope in other area of medical field also finds its role in ear surgery. Since, the endoscopes have better optics and magnificati...
متن کاملTranscanal microscope-assisted endoscopic myringoplasty in children
BACKGROUND Myringoplasty can be technically difficult in the pediatric patients due to the narrowness of the external auditory canal and the generally small size of the ear. Moreover, temporalis fascia grafts and myringoplasties for anterior perforations are more likely to fail in children. Surgical management of anterior perforations requires total exposure of the anterior angle however a micr...
متن کامل[Application of the endoscopy in the middle ear surgery].
Endoscopy is used in the middle ear surgery for above twenty years when decrease of cholesteatoma recurrence due to employing endoscope was revealed in comparison to standard microscopic only visualisation. Endoscopy may be the only way of visualisation in transcanal myringoplasty for the retraction pocket, stapedoplasty and transcanal ossiculoplasty. In canal wall up or second look tympanoplas...
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عنوان ژورنال:
- Singapore medical journal
دوره 50 5 شماره
صفحات -
تاریخ انتشار 2009