Comparison of Endoscopic and Microscopic Type 1 Tympanoplasty on Surgical Outcomes and Quality of Life

Yıl 2023, Cilt: 33 Sayı: 4, 105 - 110, 31.12.2023

Esra Kavaz Uştu , Emel Tahir , Özgür Kemal , Mustafa Aktaş

https://doi.org/10.26650/Tr-ENT.2023.1348679

Öz

Objective: The purpose of this study was to compare the surgical and functional outcomes, as well as the quality of life, of patients who underwent endoscopic and microscopic type 1 tympanoplasty.
Material and Methods: In two groups of patients undergoing endoscopic and microscopic tympanoplasty, pre- and postoperative audiological outcomes, Middle Ear Risk Index, and Chronic Otitis Media Benefit Inventory, a newly designed questionnaire specific for chronic otitis media surgery, were prospectively evaluated.
Results: The endoscopic tympanoplasty group had 30 patients, while the microscopic tympanoplasty group had 22 participants. There were no statistically significant differences in demographic parameters, Middle Ear Risk Index, or graft material chosen between the groups, although the time of hospitalization was considerably shorter in the endoscopic tympanoplasty group (p<0.001). In terms of air conduction thresholds and air-bone gap, the difference between pre and postoperative time points was statistically significant in both groups (p<0.001), but not between groups. There was no statistically significant difference between the groups in terms of hearing gain and Chronic Otitis Media Benefit Inventory scores.
Conclusion: Although the endoscopic tympanoplasty group is known to decrease early postoperative complaints and shorten hospitalization periods, the equivalent late functional outcomes (audiological and quality of life results) reveal that the two surgical procedures are not superior to each other in the long term.

Anahtar Kelimeler

Endoscopic tympanoplasty, microscopic tympanoplasty, quality of life, middle ear

Kaynakça

• Morris PS, Leach AJ. Acute and chronic otitis media. Pediatr Clin North Am 2009;56(6):1383-99. google scholar
• Zhang Y, Wang W, Xu K, Hu M, Ma Y, Lin P. Comparison of clinical outcome between endoscopic and postauricular incision microscopic type-1 tympanoplasty. Acta Otolaryngol 2021;141(1):29-33. google scholar
• Shakya D, Kc A, Nepal A. A Comparative Study of Endoscopic versus Microscopic Cartilage Type I Tympanoplasty. Int Arch Otorhinolaryngol 2020;24(1):e80-e5. google scholar
• Tarabichi M, Ayache S, Nogueira JF, Al Qahtani M, Pothier DD. Endoscopic management of chronic otitis media and tympanoplasty. Otolaryngol Clin North Am 2013;46(2):155-63. google scholar
• Furukawa T, Watanabe T, Ito T, Kubota T, Kakehata S. Feasibility and advantages of transcanal endoscopic myringoplasty. Otol Neurotol 2014;35(4):e140-5. google scholar
• Maile EJ, Youngs R. Quality of life measures in otitis media. J Laryngol Otol 2013;127(5):442-7. google scholar
• Phillips JS, Haggard M, Spencer H, Yung M. The Chronic Otitis Media Benefit Inventory (COMBI): Development and Validation of a Dynamic Quality of Life Questionnaire for Chronic Ear Disease. Otol Neurotol 2017;38(5):701-7. google scholar
• Kara H, Doruk C, Celik M, Polat B, Topsakal V, Orhan KS. Translation and Validation of Chronic Otitis Media Benefit Inventory (COMBI) in Turkish Language. Turk Arch Otorhinolaryngol 2020;58(1):24-9. google scholar
• Monsell EM, Balkany TA, Gates GA, Goldenberg RA, Meyerhoff WL, House JW. Committee on Hearing and Equilibrium Guidelines for the Evaluation of Results of Treatment of Conductive Hearing-Loss. Otolaryng Head Neck 1995;113(3):186-7. google scholar
• Gurgel RK, Jackler RK, Dobie RA, Popelka GR. A new standardized format for reporting hearing outcome in clinical trials. Otolaryngol Head Neck Surg 2012;147(5):803-7. google scholar
• Kartush JM, Michaelides EM, Becvarovski Z, LaRouere MJ. Over-under tympanoplasty. Laryngoscope 2002;112(5):802-7. google scholar
• House WF, Sheehy JL. Myringoplasty: use of ear canal skin compared with other techniques. Arch Otolaryngol 1961;73(4):407-15. google scholar
• Presutti L, Gioacchini F, Alicandri-Ciufelli M, Villari D, Marchioni D. Results of endoscopic middle ear surgery for cholesteatoma treatment: A systematic review. Acta Otorhinolaryngol Ital 2014;34(3):153. google scholar
• Ismi O, Gorur K, Gur H, Ozcan C, Vayisoglu Y. Double-layered (cartilage island+ extra perichondrium) graft for type 1 Tympanoplasty. Otolaryngol Head Neck Surg 2020;163(4):806-13. google scholar
• 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(8):1890-6. google scholar
• Lade H, Choudhary SR, Vashishth A. Endoscopic vs microscopic myringoplasty: a different perspective. Eur Arch Otorhinolaryngol 2014;271(7):1897-902. google scholar
• Kaya I, Sezgin B, Sergin D, Ozturk A, Eraslan S, Gode S, et al. Endoscopic versus microscopic type 1 tympanoplasty in the same patients: A prospective randomized controlled trial. Eur Arch Otorhinolaryngol 2017;274(9):3343-9. google scholar
• Dündar R, Kulduk E, Soy FK, Aslan M, Hanci D, Muluk NB, et al. Endoscopic versus microscopic approach to type 1 tympanoplasty in children. Int J Pediatr Otorhinolaryngol 2014;78(7):1084-9. google scholar
• Kim DJ, Lee HM, Choi SW, Oh SJ, Kong SK, Lee IW. Comparative study of endoscopic and microscopic tympanoplasty performed by a single experienced surgeon. Am J Otolaryngol 2021;42(1):102788. google scholar
• Gulsen S, Baltaci A. Comparison of endoscopic transcanal and microscopic approach in Type 1 tympanoplasty. Braz J Otorhinolaryngol 2021;87(2):157-63. google scholar
• 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;161(2):315-23. google scholar
• Phillips JS, Yung MW. A systematic review of patient-reported outcome measures for chronic suppurative otitis media. Laryngoscope 2016;126(6):1458-63. google scholar
• Kallyadan A, Sarkar S, Pradhan P, Karakkandy V, Parida PK, Chappity P, et al. Endoscopic Tympanoplasty as an alternative to microscopic tympanoplasty: A comparative study on surgical outcomes and patient satisfaction. Indian J Otolaryngol 2023:1-8. doi.org/10.1007/s12070-023-04184-4 google scholar