Research Article | | Peer-Reviewed

Endoscopic Tympanoplasty in Chronic Otitis Media with Inactive Mucosal Disease

Received: 14 July 2024     Accepted: 12 August 2024     Published: 26 September 2024
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Abstract

Background: Chronic otitis media (COM) is a condition usually seen in patients attending the ENT department. Chronic inactive mucosal disease (CIMD) is characterized by tympanic membrane (TM) perforation with hearing loss. Endoscopic tympanoplasty (ET) is a surgical method to repair TM perforation with minimal invasion. Objective: The present analysis was done to find out the outcome of ET surgeries in CIMD. Methods: Retrospective data analysis was done in 30 patients underwent ET with endoscopic under-lay technique at Al-Ameen medical college, Vijapur, India. Results: Average age of patients was 34.17±9.52 years. Majority (40%) patients were from 18-30 years of age group. There were 12 (40%) males and 18 (60%) females. Right-side and left-side CIMD was equally distributed in 30 patients. Sixteen (53.3%) and 14 (46.7%) patients were having right and left TM perforation, respectively. TM perforation size was small, medium and large in 43.3%, 30% and 26.7% of patients, respectively. Twenty-eight (93.3%) patients had temporalis fascia and 2 (6.7%) patients had tragal cartilage as graft material. Two (6.7%) patients had graft rejection without improvement in hearing. No patient had complication or any miscellaneous issues. Eighteen (60.0%), 11 (36.7%) and 1 (3.3%) pre-operative patient with pure-tone average (PTA) had mild, moderate, and severe conductive hearing loss (CHL), respectively. All patients with PTA were improved after surgery. Conclusion: ET is an effective, minimally invasive, and less painful surgical technique for repair of central TM perforations in CIMD.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 10, Issue 3)
DOI 10.11648/j.ijcems.20241003.11
Page(s) 29-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chronic Otitis Media, Chronic Inactive Mucosal Disease, Endoscopic Tympanoplasty, Tympanic Membrane Perforation

References
[1] Islam MA, Haque A. Ahmed K, Bari MS, Hoque MM, Khan MK, et al. Outcome of Surgery in Chronic Inactive Mucosal Otitis Media. Mymensingh Medical Journal. 2018, 27(3), 617-25.
[2] Maharjan M, Phuyal S, Shrestha M, Bajracharya R. Chronic Otitis Media and Subsequent Hearing Loss in Children from the Himalayan Region Residing in Buddhist Monastic Schools of Nepal. Journal of Otology. 2020, 15, 144-8.
[3] Cho YS, Park MH, Han UG, Son SE, Moon IJ. Outcomes and Learning Curve of Endoscopic Tympanoplasty: A Retrospective Analysis of 376 Patients. Laryngoscope Investigative Otolaryngology. 2022, 7(6), 2064-68.
[4] Swapna UP, Smitha B, Kumar KS. Effectiveness of Underlay Myringoplasty in Inactive Mucosal Chronic Otitis Media: A Prospective Study. International Journal of Medical Research and Review. 2020, 8(6), 398-403.
[5] Choi SW, Moon IJ, Choi JE, Kang WS, Moon IS, Kong SK, et al. Outcomes of Endoscopic Tympanoplasty for Large Perforations: A Multicenter Retrospective Study in South Korea. Clinical and Experimental Otorhinolaryngology. 2023, 16(2), 125-31.
[6] Akyigit A, Sakallıoglu O, Karlidag T. Endoscopic Tympanoplasty. Journal of Otology. 2017, 12(2), 62-67.
[7] Hsu YC, Kuo CL, Huang TC. A Retrospective Comparative Study of Endoscopic and Microscopic Tympanoplasty. Journal of Otolaryngology - Head & Neck Surgery. 2018, 47: 44.
[8] Bianchini AJ, Berlitz VG, Mocelin AG, Ribeiro JF, Keruk JG, Hamerschmidt R. Endoscopic or Microscopic Tympanoplasty Advantages and Disadvantages: A Theory Domain Systematic Review. International Archives of Otorhinolaryngology. 2023, 27(3), e528-e535.
[9] Mutlu F, Durmus K, Ozturk M, Deger HM. Comparison of Anterior Tab Flap and Underlay Tympanoplasty Techniques in Anterior Tympanic Membrane Perforations. Journal of Surgery and Medicine. 2021, 5(9), 917-920.
[10] Beckmann S, Anschuetz L. Minimally Invasive Tympanoplasty: Review of Outcomes and Technical Refinements. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2021, 32, 143-149.
[11] Bayram A, Marchioni D, Peng K, Joon Moon J, Cingi C. How Do You Perform Your Tympanoplasty, Endoscopically or Microscopically? ENT Updates. 2019, 9(2), 144-149.
[12] Gulsen S, Baltac A. Comparison of Endoscopic Transcanal and Microscopic Approach in Type 1 Tympanoplasty. Brazilian Journal of Otorhinolaryngology. 2021, 87(2), 157-163.
[13] Khan AS, Khan MY, Ali Z. Tympanoplasty: Overlay Versus Underlay Technique. Proceeding SZPGMI. 2006, 20(1), 33-7.
[14] Cao LK, Duan T, Chen J, Xia CC, Song B. [The Value of Diffusion Kurtosis Imaging in Predicting Post-Surgery Early Recurrence of Hepatocellular Carcinoma]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2018, 49(6), 914-919.
[15] Shaikh AJ, Joshi SV, Telang RA, Sonawale SL, Thakur RT. Have We found an Ideal Grafting Material for Tympanoplasty? Cartilage Island Graft! International Journal of Otorhinolaryngology Clinics. 2022, 14(1), 26-30.
Cite This Article
  • APA Style

    Tai, A., Walikar, B., Rashinkar, S., Kakeri, A., Patel, A. (2024). Endoscopic Tympanoplasty in Chronic Otitis Media with Inactive Mucosal Disease. International Journal of Clinical and Experimental Medical Sciences, 10(3), 29-35. https://doi.org/10.11648/j.ijcems.20241003.11

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    ACS Style

    Tai, A.; Walikar, B.; Rashinkar, S.; Kakeri, A.; Patel, A. Endoscopic Tympanoplasty in Chronic Otitis Media with Inactive Mucosal Disease. Int. J. Clin. Exp. Med. Sci. 2024, 10(3), 29-35. doi: 10.11648/j.ijcems.20241003.11

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    AMA Style

    Tai A, Walikar B, Rashinkar S, Kakeri A, Patel A. Endoscopic Tympanoplasty in Chronic Otitis Media with Inactive Mucosal Disease. Int J Clin Exp Med Sci. 2024;10(3):29-35. doi: 10.11648/j.ijcems.20241003.11

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  • @article{10.11648/j.ijcems.20241003.11,
      author = {Aasiya Tai and Basavaraj Walikar and Satish Rashinkar and Ashfak Kakeri and Anees Patel},
      title = {Endoscopic Tympanoplasty in Chronic Otitis Media with Inactive Mucosal Disease
    },
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {10},
      number = {3},
      pages = {29-35},
      doi = {10.11648/j.ijcems.20241003.11},
      url = {https://doi.org/10.11648/j.ijcems.20241003.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20241003.11},
      abstract = {Background: Chronic otitis media (COM) is a condition usually seen in patients attending the ENT department. Chronic inactive mucosal disease (CIMD) is characterized by tympanic membrane (TM) perforation with hearing loss. Endoscopic tympanoplasty (ET) is a surgical method to repair TM perforation with minimal invasion. Objective: The present analysis was done to find out the outcome of ET surgeries in CIMD. Methods: Retrospective data analysis was done in 30 patients underwent ET with endoscopic under-lay technique at Al-Ameen medical college, Vijapur, India. Results: Average age of patients was 34.17±9.52 years. Majority (40%) patients were from 18-30 years of age group. There were 12 (40%) males and 18 (60%) females. Right-side and left-side CIMD was equally distributed in 30 patients. Sixteen (53.3%) and 14 (46.7%) patients were having right and left TM perforation, respectively. TM perforation size was small, medium and large in 43.3%, 30% and 26.7% of patients, respectively. Twenty-eight (93.3%) patients had temporalis fascia and 2 (6.7%) patients had tragal cartilage as graft material. Two (6.7%) patients had graft rejection without improvement in hearing. No patient had complication or any miscellaneous issues. Eighteen (60.0%), 11 (36.7%) and 1 (3.3%) pre-operative patient with pure-tone average (PTA) had mild, moderate, and severe conductive hearing loss (CHL), respectively. All patients with PTA were improved after surgery. Conclusion: ET is an effective, minimally invasive, and less painful surgical technique for repair of central TM perforations in CIMD.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Endoscopic Tympanoplasty in Chronic Otitis Media with Inactive Mucosal Disease
    
    AU  - Aasiya Tai
    AU  - Basavaraj Walikar
    AU  - Satish Rashinkar
    AU  - Ashfak Kakeri
    AU  - Anees Patel
    Y1  - 2024/09/26
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijcems.20241003.11
    DO  - 10.11648/j.ijcems.20241003.11
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 29
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20241003.11
    AB  - Background: Chronic otitis media (COM) is a condition usually seen in patients attending the ENT department. Chronic inactive mucosal disease (CIMD) is characterized by tympanic membrane (TM) perforation with hearing loss. Endoscopic tympanoplasty (ET) is a surgical method to repair TM perforation with minimal invasion. Objective: The present analysis was done to find out the outcome of ET surgeries in CIMD. Methods: Retrospective data analysis was done in 30 patients underwent ET with endoscopic under-lay technique at Al-Ameen medical college, Vijapur, India. Results: Average age of patients was 34.17±9.52 years. Majority (40%) patients were from 18-30 years of age group. There were 12 (40%) males and 18 (60%) females. Right-side and left-side CIMD was equally distributed in 30 patients. Sixteen (53.3%) and 14 (46.7%) patients were having right and left TM perforation, respectively. TM perforation size was small, medium and large in 43.3%, 30% and 26.7% of patients, respectively. Twenty-eight (93.3%) patients had temporalis fascia and 2 (6.7%) patients had tragal cartilage as graft material. Two (6.7%) patients had graft rejection without improvement in hearing. No patient had complication or any miscellaneous issues. Eighteen (60.0%), 11 (36.7%) and 1 (3.3%) pre-operative patient with pure-tone average (PTA) had mild, moderate, and severe conductive hearing loss (CHL), respectively. All patients with PTA were improved after surgery. Conclusion: ET is an effective, minimally invasive, and less painful surgical technique for repair of central TM perforations in CIMD.
    
    VL  - 10
    IS  - 3
    ER  - 

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