| Autor: |
Gadag, Raveendra P., Godse, Ashwini, Narasaiah, Manjunath Dandi, shetty, Nisha, Salian, Prajna L. |
| Předmět: |
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| Zdroj: |
Medica Innovatica; Jul2016, Vol. 5 Issue 1, p3-6, 4p |
| Abstrakt: |
Background and objectives: Chronic suppurative otitis media (CSOM) is a wide spread disease of the developing countries, hence treating CSOM with surgical treatment by tympanoplasty is one of the common procedure in Ear Nose Throat specialty. Very few studies have been conducted till date to correlate the outcomes of microscopic and endoscopic tympanoplasty such as intra operative time, percentage of graft uptake, postoperative hearing improvement. Hence the objective of the study was to compare the outcomes of tympanoplasty by conventional microscopic method and endoscopic method. Material and Methods: This was a longitudinal study conducted for a period of 1 year from November 2012 to December 2013. During 1 year study period, 30 patients underwent endoscopic tympanoplasty and 30 patients underwent microscopic assisted tympanoplasty. Intra operative time taken for the both types of surgery was noted and Post operative follow up was done to look for graft uptake at 12 weeks and post operative hearing improvement at 14 weeks. Results: Graft uptake at 12 weeks was 74% in endoscopic tympanoplasty and 80% in microscopic tympanoplasty. Over all graft uptake was 77%. Both types of surgery had significant hearing improvement. Intra operative time was more in endoscopic tympanoplasty. Conclusion: Both endoscope and microscope are good tools for tympanoplasty surgeries. Post operative outcome such as graft uptake and hearing improvement was equally good in both. Operative time was more in endoscopic surgeries since one hand is occupied with endoscope. Postoperative stay was less in endoscopic method. Endoscopes have wide angle view, visualization of hidden areas is easier. Operating with both hands with good magnification, binocular vision are advantages in microscopic surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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