Artham Purva, Mishra Prasun, Gaiakwad Viraj, Chethana R, Seal Sayoni, Sinha Aniruddha
Department of ENT, Bharati Vidyapeeth Medical College, Pune, India.
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3037-3040. doi: 10.1007/s12070-024-04585-z. Epub 2024 Mar 16.
To compare endoscopic versus microscopic method for tympanoplasty in terms of Graft uptake and hearing outcome.
A randomized prospective observational study was done. 60 patients who came to ENT outpatient of tertiary care teaching hospital requiring operative intervention for inactive mucosal chronic otitis media. Randomization was done and patients divided into two groups with Group A undergoing endoscopic tympanoplasty and Group B undergoing microscopic tympanoplasty. Post operative graft uptake and hearing improvement were compared between both groups. Intraoperatively visualization of middle ear structures, surgeon's comfort, duration of surgery, post operative pain, giddiness was compared. in both the groups.
Total 60 patients got randomly divided in the two groups. There was no difference in terms post op graft success rate and post operative hearing improvement in both the groups Intra operative visualization of middle ear structures better in the endoscopic group and also the surgical time was significantly less in endoscopic group.
On comparing endoscopic versus microscopic tympanoplasty in patients of mucosal chronic otitis media, success rate in terms of graft acceptance and hearing improvement was equal between both groups. However, visualisation of middle ear structures was better in endoscopic method. Operating time was shorter in endoscopic tympanoplasty.
The online version contains supplementary material available at 10.1007/s12070-024-04585-z.
比较内镜下与显微镜下鼓室成形术在移植物吸收和听力结果方面的差异。
进行了一项随机前瞻性观察研究。60例因静止期黏膜性慢性中耳炎前来三级护理教学医院耳鼻喉科门诊需要手术干预的患者。进行随机分组，患者分为两组，A组接受内镜下鼓室成形术，B组接受显微镜下鼓室成形术。比较两组术后移植物吸收情况和听力改善情况。比较两组术中中耳结构的可视化情况、术者舒适度、手术时间、术后疼痛、头晕情况。
60例患者随机分为两组。两组术后移植物成功率和术后听力改善情况无差异。内镜组术中中耳结构可视化更好，且内镜组手术时间明显更短。
比较黏膜性慢性中耳炎患者的内镜下与显微镜下鼓室成形术，两组在移植物接受和听力改善方面的成功率相当。然而，内镜方法中耳结构的可视化更好。内镜下鼓室成形术的手术时间更短。
在线版本包含可在10.1007/s12070-024-04585-z获取的补充材料。
