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Cochlear function after type-1 tympanoplasty: endoscopic versus microscopic approach, a comparative study.

Cecilia Botti1, Matteo Fermi2, Luca Amorosa3

  • 1Department of Otorhinolaryngology Head and Neck Surgery, University Hospital of Modena, Modena, Italy. botceci@gmail.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|October 27, 2019
PubMed
Summary
This summary is machine-generated.

Endoscopic and microscopic type 1 tympanoplasty show similar effects on inner ear function. The study found no increased risk of cochlear damage with the endoscopic technique, even with one-handed ossicular chain manipulation.

Keywords:
Endoscopic ear surgeryMyringoplastyTympanoplastyType 1 tympanoplastychronic otitis media

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Audiology

Background:

  • Type 1 tympanoplasty is a surgical procedure to repair the eardrum.
  • Endoscopic and microscopic techniques offer different surgical approaches.
  • Assessing the impact on cochlear function is crucial for patient outcomes.

Purpose of the Study:

  • To compare the effects of endoscopic versus microscopic type 1 tympanoplasty on cochlear function.
  • To determine if surgical approach influences inner ear function.

Main Methods:

  • Retrospective chart review of 72 endoscopic and 84 microscopic type 1 tympanoplasties across 3 centers.
  • Inclusion criteria: mobile and intact ossicular chain.
  • Outcome measures: bone conduction thresholds (250-4000 Hz), Pure Tone Audiometry, and correlation with surgical factors.

Main Results:

  • Both techniques showed mild postoperative bone conduction shifts at 2000 and 4000 Hz, with no significant intergroup differences.
  • No statistically significant modifications in bone conduction were observed between endoscopic and microscopic approaches.
  • Graft type or position did not influence cochlear function preservation.

Conclusions:

  • Endoscopic and microscopic type 1 tympanoplasty have comparable impacts on bone conduction thresholds.
  • The endoscopic technique, despite one-handed manipulation, does not increase the risk of inner ear damage.