Desai Pratibha S, Harugop Anil S, Hajare Priti S, Somashekar Abhilasha
Department of ENT & HNS, KAHER's J. N. Medical College, Belgaum, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):234-240. doi: 10.1007/s12070-020-02030-5. Epub 2020 Aug 5.
Tympanoplasty is the most common surgery performed for Chronic Otitis Media. Here we have compared the minimally invasive endoscopic tympanoplasty with the conventional microscopic tympanoplasty. It's a comparative prospective study, involving cases of Chronic otitis media with dry perforation analysed from January 2009 to October 2019. Equally 312 patients were divided into two groups, 156 in each group and subjected for Endoscopic and Microscopic Tympanoplasty. Various parameters were studied. Graft success rate of 98.08% and 93.58% in group A and B respectively were comparable, hearing improvement in both groups was not statistically significant with -value > 0.05, whereas the postoperative hearing improved significantly to preoperative in both groups. Endoscopic and Microscopic tympanoplasty has similar outcomes, in terms of graft success rate, hearing and duration of surgery. Cosmetic results were better in Endoscopic group whereas canalplasty rates were evident in Microscopic group.
鼓室成形术是治疗慢性中耳炎最常见的手术。在此，我们比较了微创内镜下鼓室成形术与传统显微镜下鼓室成形术。这是一项前瞻性对照研究，纳入了2009年1月至2019年10月分析的慢性中耳炎干性穿孔病例。同样将312例患者分为两组，每组156例，分别接受内镜下和显微镜下鼓室成形术。研究了各种参数。A组和B组的移植物成功率分别为98.08%和93.58%，具有可比性，两组听力改善无统计学意义（P值>0.05），而两组术后听力均较术前显著改善。在内镜下和显微镜下鼓室成形术的移植物成功率、听力和手术持续时间方面，结果相似。内镜组的美容效果更好，而显微镜组的外耳道成形率更高。
