Sometimes less is more: experience with endoscopic myringoplasty

Mubeen Ali1, Imran Mohib Khan1, Azam Khan1

  • 1Department of ENT, Northwest General Hospital and Research Centre, Peshawar, Pakistan.

Insights

Endoscopic myringoplasty, a minimally invasive ear surgery, demonstrated a high success rate of 96.6% in this study. This effective procedure for repairing eardrum perforations shows promising outcomes.

Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery

Background:

  • Myringoplasty is a surgical procedure to repair tympanic membrane perforations.
  • Traditional approaches may involve more invasive techniques.

Purpose of the Study:

  • To evaluate the outcomes of endoscopic myringoplasty.
  • To assess the efficacy and success rate of this minimally invasive technique.

Main Methods:

  • Retrospective review of 31 patients who underwent endoscopic myringoplasty.
  • Analysis of patient demographics, surgical notes, and follow-up data.
  • Graft success defined by intact tympanic membrane on otoscopic examination.

Main Results:

  • A total of 31 patients (age 14-52) were included.
  • No immediate postoperative complications were reported.
  • An overall graft success rate of 96.6% was achieved (28 intact grafts, 1 graft failure).
  • Two patients were lost to follow-up.

Conclusions:

  • Endoscopic myringoplasty offers a highly successful and safe approach for treating eardrum perforations.
  • The procedure's success rate is comparable to international standards.
  • Encourages the adoption of endoscopic techniques where expertise is available.