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Transcanal microscope-assisted endoscopic myringoplasty in children
Lela Migirov1,2, Michael Wolf3
1Department of Otolaryngology Head and Neck Surgery, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. migirovl@gmail.com.
BMC Pediatrics
|April 18, 2015
Summary
Transcanal microscope-assisted endoscopic myringoplasty achieved 100% surgical success in children, offering a viable solution for challenging cases involving narrow ear canals and anterior perforations.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Innovation
Background:
- Pediatric myringoplasty presents unique challenges due to narrow ear canals and small anatomy.
- Traditional microscopic techniques may be insufficient for visualizing anterior perforations in children.
- Endoscopic approaches are emerging as alternatives for ear surgery.
Purpose of the Study:
- To evaluate the efficacy of transcanal microscope-assisted endoscopic myringoplasty in pediatric patients.
- To assess surgical outcomes and audiological improvements in children undergoing this procedure.
Main Methods:
- Retrospective review of 22 pediatric patients undergoing myringoplasty.
- Utilized chondro-perichondrial grafts with an underlay technique.
- Employed 0° and 30° endoscopes, with occasional microscope use for specific challenges.
Main Results:
- Successfully repaired large, medium, and small perforations, including 14 anterior defects.
- Achieved intact tympanic membranes and dry ears in all patients.
- Demonstrated significant postoperative improvement in air conduction levels (mean 18.2 dB).
Conclusions:
- Transcanal microscope-assisted endoscopic myringoplasty offers a 100% surgical success rate in children.
- This technique is particularly beneficial for narrow ear canals and anterior perforations with limited visibility.
- It provides a safe and effective surgical option for pediatric myringoplasty.
