Evaluation of Endoscopic Cartilage Myringoplasty Using Push-Through Technique.

Abstract

Endoscopic push-through cartilage myringoplasty is a minimally invasive procedure for repairing tympanic membrane perforations that eliminates the requirement for canal wall incision and tympanomeatal flap elevation. The study aims to evaluate hearing improvement, graft uptake rate, operative time, and the need for postoperative analgesia in cartilage myringoplasty using push-through technique. This case series study included twenty-eight patients with different sizes of tympanic membrane perforations who underwent cartilage myringoplasty by push-through technique. Successful graft uptake rate was (96.4%). There is an improvement in air conduction from 32.13 ± 5.063 dB to 22,023 ± 3.306 dB and a significant improvement in the average air-bone gape from 19.47 ± 5.342 dB to 10.39 ± 3.462 dB (P-value < 0.05). Twenty-four (85.7%) patients had mild post-operative pain (according to visual analogue score) and the rest (14.3%) had moderate pain. The mean operative time is 33.15 ± 7.2 min. Endoscopic push-through cartilage myringoplasty is an effective method of repairing tympanic membrane perforations. It has a graft uptake comparable to other methods, with less operative time and significant improvement of hearing.