Short-term Subjective and Objective Outcomes of Patients Receiving Endoscopic Transcanal Myringoplasty for Repairing Tympanic Perforations

Chih Chieh Tseng, Ming Tang Lai, Chia Che Wu, Sheng Po Yuan, Yi Fang Ding

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: Endoscopic transcanal myringoplasty (ETM) has been an emerging technique for repairing tympanic perforations since the late 1990s. Objective outcomes (ie, graft success rates and hearing results) of patients who received ETM are well documented; however, subjective outcomes of these patients have rarely been reported. Hence, this study evaluated subjective and objective outcomes of patients who received ETM for repairing tympanic perforations. Study Design: Prospective study. Setting: Tertiary care university hospital. Patients and Methods: Patients who underwent ETM for perforations of the tympanic membrane were included. We evaluated subjective variables of patients receiving ETM as the primary outcome and objective variables as the secondary outcome. Results: In total, 91 ears that underwent ETM were included. The mean pain scale score was 0.1 (range, 0-2) on postoperative day 3. The mean duration of pain medication was 2.0 (range, 0-3) days. The mean number of days required to resume routine activities was 1.0 (range, 1-2) days. The overall graft success was determined postoperatively at 3 months in 80 of 91 ears (87.9%). Closure of the air-bone gap to within 20 dB was achieved in 79 (86.8%) ears. Conclusion: In this study, patients who received ETM had mild postoperative pain and resumed routine activities early. These patients also exhibited favorable graft success rates and hearing results at 3 months postoperatively. On the basis of our results, we conclude that patients who receive ETM for the repair of tympanic perforations have favorable short-term subjective and objective outcomes.

Original languageEnglish
Pages (from-to)337-342
Number of pages6
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume158
Issue number2
DOIs
Publication statusPublished - Feb 1 2018

Keywords

  • chronic otitis media
  • endoscope
  • tympanic perforation
  • tympanoplasty

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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