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Indian Journal of Otolaryngology and Head & Neck Surgery

Erschienen in:

02.09.2023 | Original Article

Endoscopic Tympanoplasty as an Alternative to Microscopic Tympanoplasty: A Comparative Study on Surgical Outcomes and patient satisfaction

verfasst von: Aswathi Kallyadan, Saurav Sarkar, Pradeep Pradhan, Vinusree Karakkandy, Pradipta Kumar Parida, Preetam Chappity, Dillip Kumar Samal, Prity Sharma, Asutosh Adhikari, Anwer Shah, Saurav Nayak

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 1/2024

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Abstract

Background

Chronic otitis media treatment has evolved, with microscopic surgeries as the gold standard and endoscopic surgeries as a newer addition.

Materials and Methods

This retrospective study includes 209 patients who underwent type 1 tympanoplasty, utilizing both endoscopic and microscopic techniques, between January 2019 and December 2022 at a tertiary care institute in India. The study aims to compare hearing outcomes, graft uptake, hospital stay, postoperative pain, and cosmesis between the two groups.

Results

Mean AB gap closure was 17.09 + 5.98 dB in the endoscopic group and 16.74 + 5.05 dB in the microscopic group (P = 0.687). The duration of surgery was 79.26 ± 17.37 min in the Endoscopic group and 91.92 ± 15.35 min in the Microscopic group. (P = < 0.00001). The Endoscopic group experienced less post-operative pain, shorter hospital stay (P = < 0.00001, P = 0.0008), and exhibited better cosmetic outcomes (P = 0.00001) compared to the microscopic group.

Conclusion

Endoscopic tympanoplasty is a better alternative to microscopic tympanoplasty, delivering comparable hearing outcomes, shorter surgical duration, improved pain scores, and better cosmesis.

Nur mit Berechtigung zugänglich

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Titel: Endoscopic Tympanoplasty as an Alternative to Microscopic Tympanoplasty: A Comparative Study on Surgical Outcomes and patient satisfaction
verfasst von: Aswathi Kallyadan
Saurav Sarkar
Pradeep Pradhan
Vinusree Karakkandy
Pradipta Kumar Parida
Preetam Chappity
Dillip Kumar Samal
Prity Sharma
Asutosh Adhikari
Anwer Shah
Saurav Nayak
Publikationsdatum: 02.09.2023
Verlag: Springer India
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 1/2024
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-023-04184-4

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Endoscopic Tympanoplasty as an Alternative to Microscopic Tympanoplasty: A Comparative Study on Surgical Outcomes and patient satisfaction