Analysis of complication management strategies after tympanoplasty under otoendoscopy

Complications from tympanoplasty not only impact surgical outcomes but also lead to severe patient suffering, with the absence of relevant literature on their treatment.

To summarize and explore the management strategies for complications after tympanoplasty under otoendoscopy.

A case series study was conducted on 770 patients (839 ears) who underwent otoendoscopic tympanoplasty at the First People's Hospital of Foshan between January 2024 and December 2024. Regular outpatient otoendoscopic follow-ups were performed after surgery, and the incidence of postoperative complications was recorded to investigate their causes, develop timely treatment strategies, and summarize the experiences gained.

Postoperative complications occurred in 142 ears, with an incidence of 16.9%. Specific complications included surgical area infection (17 ears), poor tympanic membrane healing (31 ears), myringitis (27 ears), exposed bone wall at the incision site (44 ears), granulation hyperplasia in the surgical area (20 ears), and stenosis of the external auditory canal (3 ears). All complications were managed using individualized treatment strategies.

Otoendoscopic tympanoplasty can lead to many complications. Regular outpatient follow-up is beneficial for the timely detection and management of complications, preventing serious consequences, improving surgical efficacy, reducing patient pain, and providing guidance to primary hospitals and young doctors.