COMPARTIVE STUDY TO EVALUATE THE RESULTS OF THE ENDOSCOPIC VERSUS MICROSCOPIC MYRINGOPLASTY AT A TERITARY CARE HOSPITAL,GUNTUR

Abstract

INTRODUCTION;
Minimally invasive ear surgery i.e transcanal endoscopic ear surgery is better than the conventional microscopic ear surgery,it have high degree magnification and wide angle panoramic view where as in microscope scotopic view,it is used to visualize the hidden areas,eg sinus tympani,facial recess,hypotympanum..etc.
Aims and Objectives:
• To assess the graft uptake in endoscopically assisted myringoplasty and microscopic myringoplasty.
• To assess the subjective cosmetic outcomes after six weeks of surgery.
MATERIALS AND METHODS;
50 patients with COM inactive Tubotympanic type of disease, visiting the Department of Otorhinolaryngology, Government General Hospital, Guntur were included. The approval of the Ethical Committee and informed consent of the patient was obtained.
Study design;prospective study and Study period: 2 years.
Study location: Department of Otorhinolaryngology, Government General Hospital, Guntur, Andhra Pradesh.
Study group: Patients with COM inactive tubotympanic type with dry central perforation.
Sample size;50 cases.
RESULTS;

In total 50 cases,92% graft uptake rate observed in endoscopic approach ,88% graft uptake observed in microscopic approach group,p value of the study is <0.0005.from the above study concludes that endoscopy study had better graft uptake rate and minimal post -operative complications.
Conclusion: Regarding the outcome of surgery, success rate of endoscope assisted tympanoplasty is comparable to the microscope assisted tympanoplasty. Only advantage of endoscope assisted tympanoplasty is that it provides a wide angled magnified view by which all the corner of middle ear cavity can be visualised for any residual disease.