Endoscopic Tympanoplasty: Is it Better than Microscopic Tympanoplasty? Our Experience

Ab s t r Ac t Objective: To evaluate the efficacy and compare the results of conventional tympanoplasty with endoscopic tympanoplasty. Materials and methods: In this study, patients with clinically diagnosed chronic suppurative otitis media with dry central perforation were included. A total of 200 cases were selected of which 100 cases underwent conventional microscopic tympanoplasty and 100 cases underwent endoscopic tympanoplasty. Follow-up of all patients were done on postoperative day 7, 30, and third month of surgery. Comparison of postoperative complications, graft uptake, and average gain in hearing was done. Results: Success rate of graft uptake was 96% (96/100) in conventional microscopic group of tympanoplasty, 92% (92/100) in endoscopic group of tympanoplasty with average hearing gain of 13.96 dB in conventional group and 15.03 dB in endoscopic group. Conclusion: The surgical outcome of endoscope-assisted tympanoplasty was comparable to the conventional microscope-assisted tympanoplasty in terms of graft uptake and hearing improvement. In endoscopic tympanoplasty group, patients had better results in terms of cosmesis and postoperative recovery. Endoscopic tympanoplasty approach can be used as a good alternative.