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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It can be performed and taught in academic services with endoscopoc residency program in otorhinolaryngology, in addition to conventional surgery using a microscope. However, the present technique is simpler because postauricular incision, canalplasty, and general anesthesia are not required.

Endoscopic transcanal myringoplasty—A study

Endoscopic vs microscopic myringoplasty: Our website uses cookies to enhance your experience. Moreover, endoscopic myringoplasty still requires more training experience.

The mean operative time was Table 1 displays the changes from preoperative to postoperative air-bone gaps. In addition to conventional microscopic myringoplasty, endoscopic myringoplasty has been an emerging technique since the late s.

Conflicts of interest The authors declare no conflicts of interest. C, Image at the 6-month follow-up shows complete repair.

Support Center Support Center. Otolaryngologic Clinics of North America. Endoscopes, in turn, provide in-depth images in narrow recesses, while maintaining mjringoplasty and allowing different visualization angles. The aim of this study is to describe a case series of transcanal myringoplasty using a rigid endoscope, evaluating surgical outcomes in a university service.


Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane

Furukawa et al, 17 Lade et al, 25 and Harugop et al 24 conducted studies to compare the microscopic and endoscopic views in tympanoplasty. Feasibility and advantages of transcanal endoscopic myringoplasty. The same surgeon C. However, visualization of the perforation margin, whether complete or partial, had no significant association with the rate of graft success.

Endoscopic vs microscopic myringoplasty: Transcanal microscope-assisted endoscopic myringoplasty in children. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts.

However, endoscopic transcanal myringoplasty is less invasive because this technique does not require postauricular incision, canalplasty, and general anesthesia.

Ear surgery without microscope: The tympanomeatal flap was subsequently elevated to the level of the fibrous anulus. Despite recent reports of several authors, who describe the performance of myringoplasty with the use of optical fiber, 3 and 5 there is a scarcity of studies in Brazil assessing the results of endoscopic techniques in the context of university hospitals. We analyzed the association between the rate of graft success and prognostic factors.


Endoscopic transcanal myringoplasty—A study

Critical revision of the manuscript for important intellectual content: In the overlay technique, the graft is placed lateral to the anulus and remaining tranecanal middle layer. The remaining 2 patients underwent later revision procedures that repaired the previous perforations. After achieving hemostasis, the postauricular incision was closed with absorbable sutures.

The perforation margin was circumferentially freshened with a pick or a sickle knife. Since the s, microscopic tympanoplasty has become the standard treatment of a perforated tympanic membrane. The journal of Laryngology and Otology. The learning curve is another determining factor of surgical outcomes with the use of endoscopes, as observed in sinonasal and skull base endkscopic.

A similar method was used in the report by Pinar et al.

After the middle ear cavity was exposed, the integrity and mobility of the ossicular chain were examined. First, the perforation margin and anterior anulus were visualized through endoscopy.

There were no cases that required surgical conversion to retroauricular approach or use of the microscope in this series.

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