A performance evaluation of the endoscopic assisted myringoplasty in comparison to the conventional myringoplasty
Author(s): Dr. Chinnala Sai Chaitanya
Abstract:Background: Tympanoplasty is one of the most commonly used techniques performed on the middle ear. Endoscopes are increasingly used in various middle ear surgeries.
Objective: The objective was to evaluate the benefits and drawbacks of using an endoscope against a microscope in myringoplasty surgery.
Methods: 60 patients underwent myringoplasty, 30 with endoscope assistance and 30 with microscope assistance. The surgical outcomes were compared three months later. 24 weeks after surgery, 86.67% of group 1 and 83.3% of group 2 had intact tympanic membranes. Both groups had similar outcomes. Graft uptake showed comparable results (86.67 percent versus 83.33 per cent).
Conclusion: The endoscope's panoramic, wide-angle, and enlarged picture, as well as its ability to efficiently go through EAC and offer an uninterrupted image, alleviate most of the drawbacks of the microscope. In our study, the success rate of endoscopic and microscopic procedures remained the same. In terms of morbidity and postoperative recovery, the endoscope produced better result. Endoscope ’scope main drawbacks include loss of depth perception and one-handed technique, which can be overcome with the procedure. Thus, endoscopic tympanoplasty may be a viable alternative to microscopic tympanoplasty.