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Comparison of Endoscopic Versus Microscopic Tympanoplasty: A Prospective Randomised Study
Purva Artham1, Prasun Mishra1, Viraj Gaiakwad1
1Department of ENT, Bharati Vidyapeeth Medical College, Pune, India.
Aim:
To compare endoscopic versus microscopic method for tympanoplasty in terms of Graft uptake and hearing outcome.
Material And Methods:
A randomized prospective observational study was done. 60 patients who came to ENT outpatient of tertiary care teaching hospital requiring operative intervention for inactive mucosal chronic otitis media. Randomization was done and patients divided into two groups with Group A undergoing endoscopic tympanoplasty and Group B undergoing microscopic tympanoplasty. Post operative graft uptake and hearing improvement were compared between both groups. Intraoperatively visualization of middle ear structures, surgeon's comfort, duration of surgery, post operative pain, giddiness was compared. in both the groups.
Results:
Total 60 patients got randomly divided in the two groups. There was no difference in terms post op graft success rate and post operative hearing improvement in both the groups Intra operative visualization of middle ear structures better in the endoscopic group and also the surgical time was significantly less in endoscopic group.
Conclusion:
On comparing endoscopic versus microscopic tympanoplasty in patients of mucosal chronic otitis media, success rate in terms of graft acceptance and hearing improvement was equal between both groups. However, visualisation of middle ear structures was better in endoscopic method. Operating time was shorter in endoscopic tympanoplasty.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12070-024-04585-z.
