The Feasibility and Treatment Results of Transcanal Endoscopic Myringoplasty.
Journal
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
ISSN: 1537-4505
Titre abrégé: Otol Neurotol
Pays: United States
ID NLM: 100961504
Informations de publication
Date de publication:
01 07 2022
01 07 2022
Historique:
pubmed:
17
6
2022
medline:
30
6
2022
entrez:
16
6
2022
Statut:
ppublish
Résumé
We reported on transcanal endoscopic myringoplasty in 25 cases preliminarily in 2014. Now our number of transcanal endoscopic myringoplasty reached to 209 ears and allowed us to adequately investigate the visibility, necessity of canalplasty, treatment results, and multivariate analysis. A prospective case series. Tertiary referral center. Transcanal endoscopic myringoplasty was performed on 209 ears in 201 patients between 2011 and 2019 and followed up over 1 year. Preoperative endoscopic and microscopic views for the same patient were compared. We examined success rates at 1 year after surgery according to operation type, perforation size, operation side, gender, cause of perforation, and age, and also examined hearing results. Logistic regression analysis was performed to investigate the basic demographic and clinical characteristics of the patients associated with perforation closure. The anterior edge of the preoperative perforation was not visible under microscopy in 14.4% of patients. In contrast, endoscopic views revealed the entire tympanic membrane in one field. However, canalplasty was required in 2.4% of tympanic procedures due to difficulty of manipulation. The overall closure rate for perforations was 90.4%. Logistic regression analysis revealed that age > 11 was the only significant factor associated with perforation closure. The average reduction in air-bone gap was 12.1 dB. The endoscopic myringoplasty produced better visualization, the same or better closure rates, and the same or lower complication rates as compared with traditional microscopic techniques.
Identifiants
pubmed: 35709420
doi: 10.1097/MAO.0000000000003551
pii: 00129492-202207000-00016
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
650-656Informations de copyright
Copyright © 2022, Otology & Neurotology, Inc.
Déclaration de conflit d'intérêts
The authors disclose no conflicts of interest.
Références
Cueva RA. Areolar temporalis fascia: A reliable graft for tympanoplasty. Am J Otol 1999;20:709–11.
Gersdorff M, Garin P, Decat M, et al. Myringoplasty: Long-term results in adults and children. Am J Otol 1995;16:532–5.
Nardone M, Sommerville R, Bowman J, et al. Myringoplasty in simple chronic otitis media: Critical analysis of long-term results in a 1,000-adult patient series. Otol Neurotol 2012;33:48–53.
Yuasa R, Suetake M, Kaneko Y, Kambayashi J. A new simple myringoplasty with the use of fibrin glue. Cholesteatoma and Mastoid Surgery Fourth International Conference . Niigata, Japan; 1992:603–6.
Furukawa T, Watanabe T, Ito T, et al. Feasibility and advantages of transcanal endoscopic myringoplasty. Otol Neurotol 2014;35:140–5.
Kakehata S, Watanabe T, Ito T, et al. Extension of indications for transcanal endoscopic ear surgery using an ultrasonic bone curette for cholesteatomas. Otol Neurotol 2014;35:101–7.
Fisch U, May J, Linder T. Tympanoplasty, Mastoidectomy and Stapes Surgery. 2nd ed.New York, Thieme; 2008:32–6.
Kakehata S, Furukawa T, Ito T, et al. Comparison of postoperative pain in patients following transcanal endoscopic versus microscopic ear surgery. Otol Neurotol 2018;39:847–53.
Ayache S. Cartilaginous myringoplasty: The endoscopic transcanal procedure. Eur Arch Otorhinolaryngol 2013;270:853–60.
Harugop AS, Mudhol RS, Godhi RA. A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty. Indian J Otolaryngol Head Neck Surg 2008;60:298–302.
Lade H, Choudhary SR, Vashishth A. Endoscopic vs microscopic myringoplasty: A different perspective. Eur Arch Otorhinolaryngol 2014;271:1897–902.
Tseng CC, Lai MT, Wu CC, et al. Comparison of the efficacy of endoscopic tympanoplasty and microscopic tympanoplasty: A systematic review and meta-analysis. Laryngoscope 2017;127:1890–6.
Sakagami M, Yuasa R, Yuasa Y. Simple underlay myringoplasty. J Laryngol Otol 2007;121:840–4.
Hashimoto S, Yamamoto Y, Morita Y, et al. Clinical study of myringoplasty by underlay method with fibrin glue. Otol Jpn 2007;17:124–7.
Maeta M, Saito R, Nakagawa F, et al. A clinical comparison of orthodox myringoplasty and a simple method with fibrin glue. J Otolaryngol Jpn 1998;101:1062–8.
Kaneko A, Munemoto Y, Doi T, et al. Results and devices of simple myringoplasty with fibrin glue. Otol Jpn 2006;16:81–6.
Usami S, Iijima N, Fujita S, et al. Endoscopic-assisted myringoplasty. ORL J Otorhinolaryngol Relat Spec 2001;63:287–90.
Pinar E, Sadullahoglu K, Calli C, et al. Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg 2008;139:386–90.
Salviz M, Bayram O, Bayram AA, et al. Prognostic factors in type I tympanoplasty. Auris Nasus Larynx 2015;42:20–3.
Tseng CC, Lai MT, Wu CC, et al. Endoscopic transcanal myringoplasty for anterior perforations of the tympanic membrane. JAMA Otolaryngol Head Neck Surg 2016;142:1088–93.
Takahashi-Tatsumi E, Mishiro Y, Katsura H, et al. Longitudinal follow-up after pediatric myringoplasty: Long-term outcome is defined at 12 months. Otol Neurotol 2014;35:126–8.