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Comparative Analysis of Endoscopic and Microscopic Myringoplasty
Gabriel Souza Mares1, Raquel Pinto Coelho Souza Dias1, Felipe Costa Neiva1
1Otology Division, Otorhinolaryngology Service, Hospital do Servidor Público Estadual "Francisco Morato de Oliveira" (HSPE-FMO), Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), São Paulo, SP, Brazil.
International Archives of Otorhinolaryngology
|October 9, 2025
Summary
Microscopic myringoplasty showed better hearing improvement than endoscopic myringoplasty, though both procedures had similar success rates for tympanic membrane closure. Microscopic surgery had more immediate complications.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Hearing Restoration
Background:
- Myringoplasty reconstructs the tympanic membrane to improve hearing and prevent infections.
- The procedure can be performed using microscopy or endoscopy.
Purpose of the Study:
- To compare the outcomes of endoscopic versus microscopic myringoplasty.
- Evaluate surgical success, hearing threshold changes, and complication rates.
Main Methods:
- Retrospective analysis of 118 patients undergoing myringoplasty (microscopy or videoendoscopy) between 2015-2020.
- Assessed tympanic membrane closure, speech recognition threshold (SRT) variation, and complications.
Main Results:
- Similar tympanic membrane closure rates: 70.3% (microscopic) vs. 75.9% (endoscopic).
- Microscopic myringoplasty significantly improved hearing thresholds (p < 0.001), unlike endoscopic.
- Microscopic group had a higher rate of immediate postoperative complications.
Conclusions:
- Both myringoplasty techniques achieve comparable tympanic membrane closure.
- Microscopic myringoplasty offers superior hearing improvement compared to endoscopic.
- Endoscopic procedures may lead to fewer immediate complications but less hearing gain.
