A Comparative Study of Endoscopic Myringoplasty v/s Conventional Microscopic Myringoplasty - Our Experience

Objective To determine the advantages and disadvantages of the endoscopic myringoplasty as compared to the microscopic myringoplasty. s, otoendoscope, myringoplasty, microscopy, ear. Methods This study was counducted between july 2017 and jan 2018 in the department of Ent and Hns govt medical college Srinagar Kashmir (SMHS), total of 60 patients were included in this study. All 60 patients underwent myringoplasty, Group1, 30 patients were endoscope assisted and Group2, 30 patients were microscope assisted. Results of surgery were compared at the end of six months postoperatively. All patients undertaken for surgery had dry central type perforation. Results In both groups, the postoperative airbone gap (ABG) was significantly lower than the preoperative ABG. There were no significant differences between the preoperative and postoperative ABG values (in dB) in either group. The mean operative duration in Group 1 was significantly lower than that in Group 2. The difference between the perforation conditions (larger vs. smaller) was not significant in either group. Conclusion The endoscopic approach for tympanoplasty offers superior visualization and shorter operative time than conventional surgery with less bleeding intra-operatively, in addition to equal hearing outcome and perforation rate. Furthermore observation of fewer tissue injuries, negligible bleeding and lesser perioperative nausea and vomiting5, 6, early healing of wound, suggest that the endoscopic myringoplasty is a better choice for surgery.