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Updated: Jun 4, 2025
Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
Bilateral same-day endoscopic tympanoplasty: a paradigm shift? or mere hype?
Rubeena Arora1,2, Jitendra Singh3, Deepankshi Rawal3
1Department Of Otorhinolaryngology, General Hospital, Sector-6, Panchkula, 134109, India. irarora234@rediffmail.com.
Objective:
To ascertain the feasibility of simultaneous bilateral same-day endoscopic tympanoplasty in a secondary-level hospital in a developing country.
Material & Methods:
A prospective interventional cohort study conducted at a secondary-care hospital in North India.
Inclusion Criteria:
Consenting patients having bilateral perforations aged 10-50 years.
Exclusion Criteria:
Cholesteatoma/granulations/need for ossiculoplasty/previously operated ear/s. Temporalis fascia graft sufficient to repair 2 perforations was harvested from a right-side supratemporal incision followed by endoscopic trans-canal underlay tympanoplasty on both ears in the same session.
Follow-Up:
7th day and 1, 3, and 6 months post-operatively. An intact graft at 6 months was considered surgical success. Hearing improvement was assessed by pure tone audiometry done 6 months postoperatively.
Results:
20 patients (40 ears) had large central/subtotal perforations. 38 out of 40 ears had successful graft uptake at 6 months. Average preoperative and postoperative air-bone gaps were 31+-4.4, 16.6+-2.9 dB respectively (p < 0.001, significant). Average air-bone gap closure was14.5+-3.2 dB. There was no instance of postoperative sensorineural hearing loss/postoperative complications.
Conclusion:
Bilateral same-day endoscopic tympanoplasty is feasible, safe, and efficient, saving time and resources for both the healthcare system and patients.
