Our Experience with Two Handed Endoscopic Tympanoplasty

Area of Science:

• Otolaryngology
• Minimally Invasive Surgery
• Surgical Techniques

Background:

• Endoscopic tympanoplasty offers a minimally invasive alternative to traditional microscopic methods.
• A key limitation of endoscopic tympanoplasty is the single-handed operating constraint.
• The development of a two-handed technique using an endoscope holder aims to address this limitation.

Purpose of the Study:

• To evaluate the efficacy of the two-handed endoscopic tympanoplasty technique.
• To assess graft uptake rates and hearing outcomes in patients undergoing this procedure.
• To determine if the two-handed technique improves upon single-handed endoscopic approaches.

Main Methods:

• A prospective study involving 20 patients with chronic suppurative otitis media.
• Two-handed endoscopic tympanoplasty was performed using tragal cartilage grafts.
• Postoperative assessment at 3 months included graft status evaluation and pure-tone audiometry for hearing assessment.

Main Results:

• High graft uptake was observed in 95% (19/20) of patients.
• Significant improvement in conductive hearing loss was recorded (p < 0.0001).
• The two-handed technique effectively managed the challenges of single-handed endoscopic surgery.

Conclusions:

• Two-handed endoscopic tympanoplasty is a promising technique with high graft success and significant hearing improvement.
• This method overcomes the dexterity limitations of single-handed endoscopic procedures.
• The endoscope holder is a valuable tool for enhancing endoscopic ear surgery.