Comparative outcomes of endoscopic versus microscopic tympanoplasty in patients with dry central perforation following chronic suppurative otitis media.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-04-16 DOI:10.1017/S0022215125000404

Khalid Badr, Syed Raza, Sarah Radwan, Basil Alqarni, Asail Alghamdi, Mutep Aljahdali, Mohammed Shaheen, Saeed Alghamdi, Fares Alghamdi

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引用次数: 0

Abstract

Objectives: This study compared endoscopic and microscopic tympanoplasty regarding surgical duration and clinical outcomes for chronic suppurative otitis media.

Methods: Retrospective study included patients who underwent either endoscopic or microscopic tympanoplasty at King Abdullah Medical City between January 2020 and May 2022. It compared the groups' surgical duration, residual perforation incidence, post-operative pain and audiological outcomes.

Results: The study included 58 patients, 29 of whom underwent endoscopic and 29 underwent microscopic tympanoplasty. Endoscopic tympanoplasty had a significantly shorter average surgical duration (75.46 ± 21.04 minutes) than microscopic (126.66 ± 34.27 minutes). Non-significant differences were detected between groups regarding residual perforation, post-operative pain or hearing improvements.

Conclusion: Both procedures resulted in non-significant differences regarding hearing and surgical complications. However, endoscopic tympanoplasty had a significantly shorter surgical duration, making it a preferable option due to reducing time required. Further randomized studies should be conducted to answer which approach is superior.

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慢性化脓性中耳炎后干性中央穿孔患者内窥镜与显微镜鼓室成形术的比较结果。

目的：本研究比较内镜和显微镜下鼓室成形术治疗慢性化脓性中耳炎的手术时间和临床结果。方法：回顾性研究纳入了2020年1月至2022年5月期间在阿卜杜拉国王医疗城接受内窥镜或显微镜下鼓室成形术的患者。比较各组手术时间、残余穿孔发生率、术后疼痛和听力学结果。结果：本研究纳入58例患者，其中29例行内窥镜鼓室成形术，29例行镜下鼓室成形术。内镜下鼓室成形术的平均手术时间（75.46±21.04分钟）明显短于内镜下（126.66±34.27分钟）。两组在穿孔残留、术后疼痛或听力改善方面无显著差异。结论：两种手术在听力和手术并发症方面无显著差异。然而，内窥镜鼓室成形术的手术时间明显缩短，由于减少了所需的时间，使其成为更可取的选择。应该进行进一步的随机研究来回答哪种方法更优。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.