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Corresponding Author

Mohammad Mousa Abdelghafor Mousa

Document Type

Original Article

Abstract

Background: Chronic otitis media is the most prevalent cause of tympanic membrane perforation. In these cases, tympanoplasty attempts to restore hearing mechanisms and close the perforation.

Aim and objectives: To compare the functional and surgical results of microscopic and endoscopic tympanic membrane repair in patients with anterior tympanic membrane perforation.

Subjects and Methods: Forty patients with anterior tympanic membrane perforations that required tympanoplasty (type-I) were included in this comparative prospective single-masked study. These patients were selected from patients reporting to the Otorhinolaryngology outpatient clinics at Al-Azhar University hospitals (Al-Hussein and Sayed Galal). Patients were divided randomly into two equal groups: Group A, which included (20 patients who were treated by microscopic tympanoplasty(type-I), and Group B, which included (20 patients who were treated by endoscopic tympanoplasty(type-I).

Result; There was no statistically substantial variation between the two researched groups as regard age, sex, pre-operative Air-Bone gap, and the presence of an anterior canal wall hump. There was also no statistically substantial variation between the two groups as regards the degree of change in the pre-and postoperative air-bone gap (ABG), graft-taking rates at 1-month,3-month, and 6-month follow-ups, and postoperative complications. There was a statistically considerable variation between the researched groups regarding operation time, Intraoperative Blood Loss, the transition from pre-operative ABG to postoperative ABG, and the postoperative pain scale.

Conclusion: We revealed that endoscopic tympanoplasty (type-I) is more beneficial for patients with anterior tympanic membrane perforation. It helps patients minimize injury and decreases operation time and postoperative pain.

Keywords

Endoscopic Tympanoplasty; Microscopic Tympanoplasty; Anterior Tympanic Membrane; Perforation

Subject Area

ENT

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