How do you perform your tympanoplasty, endoscopically or microscopically?

Abstract

Since the introduction of endoscopic ear surgery (EES) in the 1990s, endoscopic systems have been utilized in a number of ear surgeries including myringoplasty and tympanoplasty. Endoscopic tympanoplasty (ET) is described as a minimally invasive surgery for surgical repair of the tympanic membrane (TM) with comparable graft survival and hearing outcomes to conventional microscopic surgery (CMT). In the present review, we aimed to outline the surgical benefits and potential drawbacks of ET with clinical outcomes in order to determine whether ET constitutes a proper alternative to CMT.

Keywords

• Tympanic membrane perforation,tympanoplasty,myringoplasty,endoscopes

References

1. 1. Anzola JF, Nogueira JF. Endoscopic Techniques in Tympanoplasty. Otolaryngol Clin North Am 2016;49:1253-64.
2. 2. Dornhoffer JL. Hearing results with cartilage tympanoplasty. Laryngoscope 1997;107:1094-9.
3. 3. Choi N, Noh Y, Park W, et al. Comparison of Endoscopic Tympanoplasty to Microscopic Tympanoplasty. Clin Exp Otorhinolaryngol 2017;10:44-9.
4. 4. Eichner H. A "mother-and baby scope-optic" for middle ear endoscopy. Laryngol Rhinol Otol (Stuttg) 1978;57:872-6.
5. 5. Thomassin JM, Duchon-Doris JM, Emram B, Rud C, Conciatori J, Vilcoq P. Endoscopic ear surgery: initial evaluation. Ann Otolaryngol Chir Cervicofac 1990;107:564-70.
6. 6. Badr-El-Dine M, James AL, Panetti G, Marchioni D, Presutti L, Nogueira JF. Instrumentation and technologies in endoscopic ear surgery. Otolaryngol Clin North Am 2013;46:211-25.
7. 7. Tarabichi M, Nogueira JF, Marchioni D, Presutti L, Pothier DD, Ayache S. Transcanal endoscopic management of cholesteatoma. Otolaryngol Clin North Am 2013;46:107-30.
8. 8. Badr-el-Dine M. Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol 2002;23:631-5.

9. 9. Good GM, Isaacson G. Otoendoscopy for improved pediatric cholesteatoma removal. Ann Otol Rhinol Laryngol 1999;108:893-6.
10. 10. Ohki M, Kikuchi S, Tanaka S. Endoscopic Type 1 Tympanoplasty in Chronic Otitis Media: Comparative Study with a Postauricular Microscopic Approach. Otolaryngol Head Neck Surg 2019 Mar 26:194599819838778. doi: 10.1177/0194599819838778 [Epub ahead of print]
11. 11. Kuo CH, Wu HM. Comparison of endoscopic and microscopic tympanoplasty. Eur Arch Otorhinolaryngol 2017;274:2727-32.
12. 12. Tseng CC, Lai MT, Wu CC, Yuan SP, Ding YF. Comparison of the efficacy of endoscopic tympanoplasty and microscopic tympanoplasty: A systematic review and meta-analysis. Laryngoscope 2017;127:1890-6.
13. 13. Kozin ED, Gulati S, Kaplan AB, et al. Systematic review of outcomes following observational and operative endoscopic middle ear surgery. Laryngoscope 2015;125:1205-14.
14. 14. Bottrill I, Perrault DF Jr, Poe D. In vitro and in vivo determination of the thermal effect of middle ear endoscopy. Laryngoscope 1996;106:213-6.
15. 15. Lee SY, Lee DY, Seo Y, Kim YH. Can Endoscopic Tympanoplasty Be a Good Alternative to Microscopic Tympanoplasty? A Systematic Review and Meta-Analysis. Clin Exp Otorhinolaryngol 2019;12:145-55.
16. 16. Committee on hearing and equilibrium guidelines for the evaluation results of treatment of conductive hearing loss. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolaryngol Head Neck Surg 1995;113:186-7.
17. 17. Dündar R, Kulduk E, Soy FK, et al. Endoscopic versus microscopic approach to type 1 tympanoplasty in children. Int J Pediatr Otorhinolaryngol 2014;78:1084-9.
18. 18. Patel J, Aiyer RG, Gajjar Y, Gupta R, Raval J, Suthar PP. Endoscopic tympanoplasty vs microscopic tympanoplasty in tubotympanic CSOM: a comparative study of 44 cases. Int J Res Med Sci 2015;3:1953-7.
19. 19. Glasscock ME, Jackson CG, Nissen AJ, Schwaber MK. Postauricular undersurface tympanic membrane grafting: a follow-up report. Laryngoscope 1982;92:718-27.
20. 20. Sheehy JL, Anderson RG. Myringoplasty: a review of 472 cases. Ann Oto Rhinol Laryngol 1980;89:331-4.
21. 21. Akyigit A, Sakallıoglu O, Karlidag T. Endoscopic tympanoplasty. J Otol 2017;12:62-7.
22. 22. Harugop AS, Mudhol RS, Godhi RA. A comparative study of endoscope assisted myringoplasty. Indian J Otolaryngol Head Neck Surg 2008;60:298-302.
23. 23. Plodpai Y, Paje N. The outcomes of overlay myringoplasty: endoscopic versus microscopic approach. Am J Otolaryngol 2017;38:542-6.
24. 24. Kumar M, Kanaujia SK, Singh A. A comparative study of endoscopic myringoplasty vs conventional myringoplasty. Int J Otorhinolaryngol Clin 2015;7:132-7.
25. 25. Tseng CC, Lai MT, Wu CC, Yuan SP, Ding YF. Short-term Subjective and Objective Outcomes of Patients Receiving Endoscopic Transcanal Myringoplasty for Repairing Tympanic Perforations. Otolaryngol Head Neck Surg 2018;158:337-42.
26. 26. Kaya I, Sezgin B, Sergin D, et al. Endoscopic versus microscopic type 1 tympanoplasty in the same patients: a prospective randomized controlled trial. Eur Arch Otorhinolaryngol 2017;274:3343-9.
27. 27. Nardone M, Sommerville R, Bowman J, Danesi G. Myringoplasty in simple chronic otitis media: critical analysis of long-term results in a 1,000-adult patient series. Otol Neurotol 2012;33:48-53.
28. 28. Eren SB, Tugrul S, Ozucer B, Veyseller B, Aksoy F, Ozturan O. Endoscopic Transcanal Inlay Myringoplasty: Alternative Approach for Anterior Perforations. Otolaryngol Head Neck Surg 2015;153:891-3.
29. 29. Tseng CC, Lai MT, Wu CC, Yuan SP, Ding YF. Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane. JAMA Otolaryngol Head Neck Surg 2016;142:1088-93.
30. 30. El-Hennawi DEM, Ahmed MR, Abou-Halawa AS, Al-Hamtary MA. Endoscopic push-through technique compared to microscopic underlay myringoplasty in anterior tympanic membrane perforations. J Laryngol Otol 2018;132:509-13.
31. 31. Plodpai Y. Endoscopic vs Microscopic Overlay Tympanoplasty for Correcting Large Tympanic Membrane Perforations: A Randomized Clinical Trial. Otolaryngol Head Neck Surg 2018;159:879-86.
32. 32. Marchioni D, Rubini A, Gazzini L, et al. Complications in Endoscopic Ear Surgery. Otol Neurotol 2018;39:1012-7.
33. 33. Raj A, Meher R. Endoscopic transcanal myringoplasty-a study. Indian J Otolaryngol 2001;53:47-9.
34. 34. Yung MW. The use of middle ear endoscopy: has residual cholesteatoma been eliminated? J Laryngol Otol 2001;115:958-61.
35. 35. Rosenberg SI, Silverstein H, Willcox TO, Gordon MA. Endoscopy in otology and neurotology. Am J Otol 1994;15:168-72.
36. 36. Ozturan O, Dogan R, Eren SB, Aksoy F. Intraoperative thermal safety of endoscopic ear surgery utilizing a holder. Am J Otolaryngol 2018;39:585-91.