Arora Rubeena, Singh Jitendra, Rawal Deepankshi, Barkhane Monika, Goyal Aashish
Department Of Otorhinolaryngology, General Hospital, Sector-6, Panchkula, 134109, India.
, 157 A, Sector 5, Ecocity 1 Near Mullanpur Garibdass Mohali, Panchkula, Punjab, 140901, India.
Eur Arch Otorhinolaryngol. 2025 Apr;282(4):2155-2158. doi: 10.1007/s00405-024-09178-8. Epub 2024 Dec 24.
To ascertain the feasibility of simultaneous bilateral same-day endoscopic tympanoplasty in a secondary-level hospital in a developing country.
MATERIAL & METHODS: A prospective interventional cohort study conducted at a secondary-care hospital in North India.
Consenting patients having bilateral perforations aged 10-50 years.
Cholesteatoma/granulations/need for ossiculoplasty/previously operated ear/s. Temporalis fascia graft sufficient to repair 2 perforations was harvested from a right-side supratemporal incision followed by endoscopic trans-canal underlay tympanoplasty on both ears in the same session.
FOLLOW-UP: 7th day and 1, 3, and 6 months post-operatively. An intact graft at 6 months was considered surgical success. Hearing improvement was assessed by pure tone audiometry done 6 months postoperatively.
20 patients (40 ears) had large central/subtotal perforations. 38 out of 40 ears had successful graft uptake at 6 months. Average preoperative and postoperative air-bone gaps were 31+-4.4, 16.6+-2.9 dB respectively (p < 0.001, significant). Average air-bone gap closure was14.5+-3.2 dB. There was no instance of postoperative sensorineural hearing loss/postoperative complications.
Bilateral same-day endoscopic tympanoplasty is feasible, safe, and efficient, saving time and resources for both the healthcare system and patients.
确定在发展中国家的一家二级医院同时进行双侧同期内镜下鼓室成形术的可行性。
在印度北部的一家二级护理医院进行了一项前瞻性干预队列研究。
年龄在10至50岁之间、双侧鼓膜穿孔且同意参与的患者。
胆脂瘤/肉芽组织/需要进行听骨成形术/既往手术耳。从右侧颞上切口获取足够修复2个穿孔的颞肌筋膜移植物，然后在同一手术中对双耳进行内镜经耳道内植法鼓室成形术。
术后第7天以及术后1、3和6个月。6个月时移植物完整被视为手术成功。术后6个月通过纯音听力测定评估听力改善情况。
20例患者（40耳）有大的中央性/次全性穿孔。40耳中有38耳在6个月时移植物成功植入。术前和术后平均气骨导间距分别为31±4.4、16.6±2.9 dB（p < 0.001，具有显著性）。平均气骨导间距缩小14.5±3.2 dB。没有术后感音神经性听力损失/术后并发症的情况。
双侧同期内镜下鼓室成形术是可行、安全且有效的，为医疗系统和患者节省了时间和资源。
