gms | German Medical Science

Aim of the work: To evaluate the efficacy of the endoscopic-assisted permeatal transperforation tragal cartilage myringoplasty by assessing the graft take rate and hearing results and to compare it to microscopic myringoplasty of the same technique.

Methods: Thirty patients were enrolled in this study between January,2015 and January,2016 gathered from kasr Al-ainy ENT outpatient clinic. They were randomly divided into 2 equal groups. Group 1 had endoscopic-assisted permeatal transperforation tragal cartilage myringoplasty, while group 2 had microscopic-assisted permeatal transperforation tragal cartilage myringoplasty.

Results: In this study, the case is considered to be "successful" if there are complete healing of the tympanic membrane and improvement of hearing postoperatively. Cases with residual perforation or those who showed no hearing improvement postoperatively are considered "failed". In group 1: 86.67% of the patients are considered successful, while 13.33% of the patients are considered failed. In group 2: 80% of the patients are considered successful, while 20% of the patients are considered failed. The difference between the 2 groups was not statistically significant in terms of hearing improvement and healing of the tympanic membrane.

Conclusion: Cartilage is considered one of the most suitable materials used for myringoplasty. The inlay cartilage myringoplasty is considered a relatively recent technique with a successful graft take rate and improvement of hearing. The microscopic-assisted myringoplasty is the standard technique for myringoplasty. The endoscopic-assisted myringoplasty is a trusted technique for myringoplasty which is considered as much efficient as the microscopic technique or even superior to it in certain circumstances.

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