Epub jul endoscopic transcanal myringoplasty for tympanic perforations. Apr 01, 2015 the transcanal microscopeassisted endoscopic myringoplasty had a 100% rate of surgical success for closure of tympanic membrane defects in children. Transcanal microscopeassisted endoscopic myringoplasty in children. It can be performed and taught in academic services with a residency program in otorhinolaryngology, in addition to conventional surgery using a microscope. Depending on the characteristics of the perforation, the external auditory canal, and the middle earrelated findings state of the tympanic cavity and eustachian tube function, the endoscopic transcanal technique can be performed in two ways. Jul 23, 2019 endoscopic transcanal myringoplasty pdf auris nasus larynx. To investigate the feasibility of transcanal endoscopic myringoplasty in the hand of young beginner surgeons who had just completed the residency programme. Yadav, agarwal et al6 studied about the endoscopic assisted myringoplasty, they concluded that endoscopic myringoplasty is equally effective. Total endoscopic transcanal cartilage myringoplasty shakya et al. The transcanal endoscopic view zerodegree, 3mm diameter endoscope taken from the same patient demonstrates a highresolution, widefield view with the incus 1, stapes 2, cochlea 3, and round window 4. In our study we have also used a single flap technique to prepare the bed for. Microscopic and endoscopic views were compared for. Takatoshi furukawa, tomoo watanabe, tsukasa ito, toshinori kubota, and seiji kakehata. Transcanal endoscopic retrograde atticoantrotomy was also performed, as necessary, on some patients to access pathologies in the antrum.
Pdf transcanal microscopeassisted endoscopic myringoplasty. Transcanal endoscopic ear surgery for pediatric population. Results of endoscopic transcanal tympanoplasty with inlay. Transcanal endoscopic myringoplasty is a safe and feasible procedure, with good success rates for tympanic perforation closure and recovery of hearing thresholds.
Transcanal endoscopic myringoplasty is a feasible, safe, and effective procedure. Our study was done in 80 patients with unilateral dry subtotal tympanic perforations. The objectives of the study are to evaluate the feasibility, results and complications of the endoscopic transcanal cartilaginous myringoplasty. Transcanal microscopeassisted endoscopic myringoplasty in children lela migirov1,2 and michael wolf1 abstract background. Shortterm subjective and objective outcomes of patients.
Endoscopic transcanal myringoplasty for anterior perforations of. The characteristics, advantages, and disadvantages of this technique are also discussed. Transcanal myringoplasty with total tympanomeatal flap removal for tympanic membrane perforation duration. Transcanal endoscopic myringoplasty does not require surgical exposure such as a retroauricular skin incision to get an anterior view. Endoscopic transcanal cartilage myringoplasty for repair of. In addition to conventional microscopic myringoplasty, endoscopic myringoplasty has been an emerging technique since the late 1990s. Other endoscopic myringoplasty procedures to treat atmp have been described in the literature, but they are unable to control the state of the ossicular chain. One hundred sixtyeight ear procedures performed for cholesteatoma using 2 primary techniques.
The transcanal endoscopic approaches to the lateral skull base proved to be successful for pathology removal involving the fundus, iac, cochlea, petrous apex, and geniculate ganglion region. Feasibility and advantages of transcanal endoscopic myringoplasty. Transcanal endoscopic tympanoplasty was performed by rigid endoscopes with an outer diameter of 2. Methods this prospective study was performed on patients with anterior tympanic membrane perforations and endoscopic pushthrough technique cartilage myringoplasty was performed between 2011 and 20. Subsequently, austin and shea 2 developed tympanoplasty from myringoplasty by incorporating the tympanomeatal flap. Primary endoscopic surgery for removal of the cholesteatoma and further reconstruction and monitoring of patients. In endoscopic group there was 90% graft uptake rate as compared to 85% in microscopic group.
Pdf introduction middle ear surgeries, including myringoplasty, have increasingly utilized endoscopes as an adjunct to or as a replacement. Endoscopic transcanal myringoplasty for anterior tympanic. In our study we have also used a single flap technique to prepare the bed for the graft material. Objectives to evaluate endoscopic pushthrough technique cartilage myringoplasty results. Endoscopic transcanal surgery is a onehanded technique. The feasibility and advantages of transcanal endoscopic myringoplasty were examined. A cholesteatoma is defined as an epidermal cyst in the middle ear without a previous history of ear infection, head trauma, or ear surgery 1. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. Endaural, transcanal and postauricular approaches are used during myringoplasty and tympanoplasty.
Note the relatively narrow field of view of the operative microscope. Surgical navigation may gain greater favor for endoscopic transcanal approaches to the inner ear, similar to contemporary endoscopic sinus surgery. Results during the study period, 9 patients were included, out of whichwerelosttofollowup. Transcanal endoscopic tympanoplasty with tragal perichondrium.
Aug 04, 2017 transcanal myringoplasty with total tympanomeatal flap removal for tympanic membrane perforation duration. Pdf aim of this study was to evaluate the role of rigid endoscope in the management of dry central perforation of the tympanic membrane and to compare. The transcanal microscopeassisted endoscopic myringoplasty had a 100% rate of surgical success for closure of tympanic membrane defects in children. This technique is similar to the butterfly technique. Endoscopic transcanal myringoplastya study springerlink. Aim of this study was to evaluate the role of rigid endoscope in the management of dry central perforation of the tympanic membrane and to compare the results of endoscopic myringoplasty with that of conventional myringoplasty using microscope. Our aim is to evaluate transcanal endoscopic approach in repair of subtotal tympanic membrane perforation in a trial to prevent conventional postaural approach.
Myringoplasty through the creation of a tympanomeatal flap. The patients who did not have any cholesteatoma or otorrhea in the previous 3 months, and had an air bone. Anteriorly located tympanic membrane perforations can negatively affect surgical success rates. Total endoscopic transcanal cartilage myringoplasty. Moreover, temporalis fascia grafts and myringoplasties. Endoscopic transcanal myringoplasty the journal of. Myringoplasty can be technically difficult in the pediatric patients due to the narrowness of the external auditory canal and the generally small size of the ear. It can be performed using the microscopic or endoscopic approach.
Introductiontranscanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. Transcanal endoscopic ear surgery for congenital cholesteatoma. Endoscopic suspended cartilage myringoplasty for the repair. Single flap otoendoscopic myringoplasty for large central.
Endoscopic transcanal myringoplasty for tympanic perforations. Transcanal microscopeassisted endoscopic myringoplasty in. Endoscopic transcanal myringoplasty the journal of laryngology. Endoscopic fat graft myringoplasty ent publications by. Patients transcanal endoscopic myringoplasty was performed on 25 ears in 21 patients with chronic otitis.
A case series in patients with chronic otitis media, treated with transcanal endoscopic tympanoplasty by the technique underover, followed by six months post treatment clinical and audiometric evaluations, in the. Pdf endoscopic transcanal cartilage myringoplasty for. In recent years, endoscopic transcanal myringoplasty etm has been increasingly practiced and has yielded positive results. It can be performed using several different grafts and approaches. Three patients had a residual perforation at 2 months after surgery.
We performed a prospective study in 41 patients with marginal perforations who underwent endoscopic cartilage myringoplasty with the removal of a small rim of eac. Endoscopic pushtrough technique cartilage myringoplasty in. Comparison of endoscopic transcanal myringoplasty and. Methods a case series, crosssectional historical cohort study was conducted, based on the analysis of medical records of patients submitted to myringoplasty with exclusive use of rigid endoscope in a university service with a medical residency program in otorhinolaryngology from january to october the remaining 2 patients underwent later. The full text of this article is available as a pdf 428k.
Transcanal endoscopic myringoplasty was successfully performed with a simple underlay technique or with an intracanal incision in cases of. Endoscopic type i tympanoplasty is as effective as. Transcanal endoscopic ear surgery to treat middleear choles. Objective endoscopic transcanal myringoplasty etm has been an emerging technique for repairing tympanic perforations since the late 1990s.
Comparison of temporal muscle fascia and tragal cartilage perichondrium in endoscopic type 1 tympanoplasty with limited. A prospective study dipesh shakya1 arun kc2 ajit nepal2 nirmala tamang3 1department of ear nose and throat, civil service hospital, minbhawan kathmandu, kathmandu, nepal 2department of otorhinolaryngology, patan academy of health sciences, lalitpur, nepal. Our results demonstrated that transcanal endoscopic myringoplasty can be performed, regardless of the perforation size and the narrowness andor protrusion of external ear canal. Recent developments in endoscopic techniques have facilitated middleear surgery, particularly myringoplasty. Full text views reflects the number of pdf downloads. The results of endoscopic myringoplasty are comparable to. Pdf endoscopic transcanal myringoplastya study anoop. Endoscopic transcanal myringoplastya study ncbi nih. Endoscopic transcanal cartilage myringoplasty for repair of subtotal.
However, we have developed a transcanal endoscopic myringoplasty procedure, and the microscopic and endoscopic views are compared herein for the first time. Comparison of endoscopic transcanal myringoplasty and endoscopic type i tympanoplasty in repairing mediumsized tympanic perforations. Pdf endoscopic transcanal myringoplastya study researchgate. Endoscopic transcanal myringoplasty volume 106 issue 6 ahmed elguindy. Few studies have described endoscopic transcanal myringoplasty for repair of anterior perforations of the tympanic membrane. Available formats pdf please select a format to send. Endoscopic transcanal myringoplasty for anterior perforations. The aim of endoscopic fat graft myringoplasty fgm under local anaesthesia clinical trial was to evaluate the success rate of our newly developed surgical technique we also aimed to assess the correlations between the size of perforations and closure rates, as well as the results of regained hearing in successful cases with respect to sizes of perforations. Endoscopic butterfly myringoplasty miringoplastica endoscopica tipo butterfly the best advantage of endoscopy is seeing round the corner and sometimes in myringoplasty. The patients who did not have any cholesteatoma or otorrhea in the previous 3 months, and had an air. Recently, different endoscopes have been used in the performance of ear surgery in general and myringoplasty in particular, and the surgical success of endoscopeassisted myringoplasty ranges between 80 and 100 % 4046. Tympanoplasty involves eradication of the disease in the middle ear, repair of the perforated tympanic membrane and restoration of hearing. The tympanomeatal flap elevation technique has been used in tympanoplasty for decades.
Minimally invasive transcanal endoscopic ear surgery. In patients with a hole in the eardrum, the hole in the eardrum can be repaired using endoscopic and microscopic techniques through the ear canal. Endoscopic transcanal myringoplasty anoop raj, ravi meher indian journal of otorhinolaryngology. In tympanoplasty type i or myringoplasty, classically. To describe a case series of transcanal endoscopic myringoplasty performed in a university service. Myringoplasty can be technically difficult, especially in pediatric patients, due to the narrowness of the external auditory canal and the. The management of anterior, subtotal or total tympanic membrane perforations can be challenging through a transcanal approach, especially through a narrow canal or with a prominent anterior overhang. Feb 17, 20 endoscopic butterfly myringoplasty miringoplastica endoscopica tipo butterfly the best advantage of endoscopy is seeing round the corner and sometimes in myringoplasty its possible to. The use of the rigid endoscope in the management of dry central perforation. Endoscopic cartilage myringoplasty with the removal of a. Thirty patients with a tympanic membrane perforation underwent a transcanal endoscopic cartilaginous myringoplasty, between june 2008 and january 2010. Transcanal endoscopic management of cholesteatoma 7 discussion the rationale, advantages, limitations, technique, and longterm results of the technique will be discussed in the following sections. To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal eac. May 26, 2012 the objectives of the study are to evaluate the feasibility, results and complications of the endoscopic transcanal cartilaginous myringoplasty.
Minimally invasive transcanal endoscopic ear surgery intechopen. This study aimed to present, using our case series results, endoscopic triplec composite chondroperichondrial clip tympanoplasty as an alternative method in the repair of tympanic membrane anterior quadrant perforations. Since the 1950s, microscopic myringoplasty has been the standard surgery for repairing a perforated tympanic membrane. The aim of this study was to determine the rate of total graft integration tgi and auditory results of endoscopic transcanal myringoplasty with inlay tragus cartilage graft. The authors first systematically evaluated the clinical parameters, outcomes, and complications of transcanal endoscopic ear surgery used to treat middleear cholesteatoma. Endoscopic views can provide a wider and more detailed image of the entire annulus by placing the objective lens in the external ear canal. Like all new techniques, training on temporal bone dissections is essential to accelerate the learning curve. The results of endoscopic myringoplasty are comparable to the conventional myringoplasty done under operating microscope and there is no significant difference between the gain in ab gap in either group.
Endoscopically assisted eardrum surgery endoscopic myringoplasty endoscope assisted myringoplasty, endoscopic myringoplasty endoscopic assisted myringoplasty endoscopic eardrum hole surgery endoscopic repair of tympanic membrane. Endoscopic type i tympanoplasty is as effective as microscopic. Endoscopic suspended cartilage myringoplasty for the. Rationale for endoscopic ear surgery acquired cholesteatoma is usually a manifestation of advanced retraction of the. Feasibility and advantages of transcanal endoscopic. Endoscopic transcanal corridors to the lateral skull base. The endoscope is an equipment used successfully in several procedures of several medical specialities. Their ages ranged from 1850 years with mean of 33 years. This technique is especially helpful in patients with narrow external canals, anterior defects and bone overhang, when perforations margins are barely, if at all, visible under a microscope. Transcanal endoscopic myringoplasty was performed on 25 ears in 21 patients with chronic otitis media between september 2011 and december 2012.
Volume 3, issue 10, pp 10171019, october, 2015 issn. Pdf endoscopic transcanal myringoplastya study anoop raj. Introduction middle ear surgeries, including myringoplasty, have increasingly uti lized endoscopes as an adjunct to or as a. Prospective study of outcome of endoscopic transcanal. Pdf total endoscopic transcanal cartilage myringoplasty. Endoscopic pushtrough technique cartilage myringoplasty. Recently, transcanal endoscopic approaches have become popular. Endoscopic transcanal myringoplasty pdf auris nasus larynx. In majority of the endoscopic transcanal myringoplasty, endomeatal skin flap are not raised because of the technical difficulty with one had only free12. The values of anteriorposterior diameters and superior.