Auris Nasus Larynx. Jun;45(3) doi: / Epub Jul Endoscopic transcanal myringoplasty for tympanic perforations. Question What are the results of endoscopic transcanal myringoplasty for repairing anterior perforations of the tympanic membrane? Findings. To investigate the feasibility of transcanal endoscopic myringoplasty in the hand of young beginner surgeons who had just completed the residency programme.

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However, there are limitations. Cotton pads soaked in epinephrine 1: It can be performed and taught in academic services with a residency program in otorhinolaryngology, in addition to conventional surgery using a microscope. Endoxcopic teaching of otologic surgeries during the otolaryngologist’s training period is traditionally done with the use of microscopes.

Feasibility and advantages of transcanal endoscopic myringoplasty. Main Outcomes and Measures: Disadvantages associated with the endoscope involve working with only one hand and the absence of stereoscopic view, which many authors consider crucial for otologic surgery. This article has been cited by other articles in PMC. Copyright American Medical Association.

However, endoscopic transcanal myringoplasty is less invasive because this technique does not require trascanal incision, canalplasty, and general anesthesia. The mean age of patients trwnscanal Our website uses cookies to enhance your experience. Endoscopic transcanal inlay myringoplasty: Author information Copyright and License information Disclaimer.

For harvesting of the tragal perichondrial graft, a 1-cm incision was made 2 to 3 mm medial to the wndoscopic border of the tragal cartilage by cutting through the skin and cartilage. The tympanomeatal flap was subsequently elevated to the level of the fibrous anulus.


Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane.

endoscopid Each patient was administered intravenous sedation 50 mg of meperidine hydrochloride and 5 mg of midazolam hydrochloride 10 minutes preoperatively by an anesthesiologist. The major difference between microscopy and endoscopy is the surgical view. The graft was then positioned and the perforation was closed. Most patients were undergoing surgery endosccopic the first time; patients undergoing reoperation accounted for 9.

The principles of plastic surgery of the sound-conducting apparatus. The middle ear cavity was tightly packed with an absorbable gelatin sponge Gelfoam; Pfizer, Inc through the perforation. However, our technique is simpler because postauricular incision, canalplasty, and general anesthesia are not required.

COM is a heterogeneous disease, with a wide, varied clinical and pathological spectrum. Purchase access Subscribe now. The mean operative time for complete visualization of the perforation margin was In fact, studies show that hearing threshold improvement after myringoplasty essentially depends on graft incorporation to the tympanic membrane, the integrity of the ossicular chain, the absence of residual perforation, and graft lateralization or medialization.

Various factors influence the success rate of myringoplasty, such as age, the perforation portion, the perforation size, postoperative otorrhea, revision surgery, and poor visualization of the perforation margin. It can be performed using the microscopic or endoscopic approach. Privacy Policy Terms of Use. Our study revealed that the rate of graft success and hearing results of endoscopic transcanal myringoplasty and microscopic myringoplasty are comparable for repairing perforations of the tympanic membrane.

The mean SD preoperative and postoperative air-bone gaps were A, An anterior marginal perforation with partial visualization of the margin arrowheads is seen.


KG – Tuttlingen, Germany. There were no cases that required surgical conversion to retroauricular approach or use of the microscope in this series. Tympanoplasty for closing anterior perforations of the tympanic membrane is considered challenging.

Otolaryngologic Clinics of North Endowcopic. Please review our privacy policy. However, visualization of the perforation margin, whether complete or partial, had no significant association with the rate of graft success.

Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane.

For harvesting of the temporalis fascia graft, a 2. In addition to microscopic tympanoplasty, endoscopic tympanoplasty has been performed increasingly since the s. The granscanal auditory canal was packed with absorbable gelatin sponge pledgets to the level of the isthmus.

Anterior perforations were defined as anterior to the malleus handle. Moreover, endoscopic myringoplasty still requires more training experience. After being prepared 2 mm larger than the perforation size, the graft was pushed through the perforation and placed in an underlay manner Figure. Endoscopes, in turn, provide in-depth images in narrow recesses, while maintaining brightness and allowing different visualization angles.

Tympanic perforation closure three months after surgery was observed in Second, this study was a retrospective medical record review, and the patients who were lost to or unavailable for follow-up might have caused recall and selection myringoplssty. Two rigid endoscopes Karl Storz were used in our surgical techniques 4.