Endoskopska kirurgija uha u Hrvatskoj - prvi rezultati potpuno endoskopskih transmeatalnih miringoplastika
| Autor: | Malić, Mislav, Gjurić, Mislav |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Acta clinica Croatica Volume 61. Issue Supplement 4 |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | The aim of this study was to show clinical outcome in 56 patients with tympanic membrane perforation operated on by total endoscopic transcanal myringoplasty. Out of the total of 74 patients operated on exclusively endoscopically, we identified 56 patients in whom tympanoplasty type I (myringoplasty) was performed. In 43 patients (45 ears), myringoplasty was performed in a standard transcanal fashion with lifting of the tympanomeatal flap, and in 13 patient butterfly myringoplasty was performed. The size and position of perforation, surgery duration, hearing status and closure of the perforation were evaluated. Perforation closure was obtained in 50 of 58 ears (86.21%). The mean surgery duration was 62.69±22.56 minutes in both groups. Hearing improved significantly, with the preoperative mean air-bone gap of 20.41±9.29 dB improving to the postoperative mean airbone gap of 9.05±7.77 dB. No major complications were recorded. Our results of graft success rate and hearing outcomes are comparable with those of microscopic myringoplasties but without the need for external incisions and with reduced surgical morbidity. Hence, we recommend total endoscopic transcanal myringoplasty as the method of choice for tympanic membrane perforation regardless of its size and location. Cilj ovoga rada je prikazati naše dosadašnje rezultate potpuno endoskopskih transmeatalnih miringoplastika. Provedena je retrospektivna analiza baze podataka bolesnika operiranih endoskopskim putem. Od ukupno 74 operiranih bolesnika u studiju je uključeno 56 bolesnika (58 ušiju) kod kojih je rađena timpanoplastika tip I. (miringoplastika) s minimalnim trajanjem praćenja od 3 mjeseca nakon operacije. Kod 43 bolesnika (45 ušiju) operacija je izvedena standardnim odizanjem timpanomeatalnog režnja, dok je kod 13 bolesnika operacija učinjena bez odizanja režnja, tzv. tehnikom butterfly. Pratili smo veličinu i poziciju perforacije prijeoperacijski, trajanje same operacije, poboljšanje sluha te uspješnost zatvaranja perforacije. Ukupno je uspješnost zatvaranja perforacije bila 86,21% (50 od 58 uha). Prosječno je operacija trajala 62,69±22,56 minuta. Značajno poboljšanje postignuto je u kvaliteti sluha koja se poboljšala s 20,41±9,29 dB razlike u zračno-koštanoj vodljivosti prijeoperacijski na 9,05±7,77 dB razlike poslijeoperacijski. Endoskopska kirurgija uha omogućava rezultate koji su u najmanju ruku usporedivi s klasičnim mikroskopskim tehnikama, a pritom značajno smanjuje kirurški pobol. Preporučamo transkanalnu endoskopsku miringoplastiku kao metodu izbora za zatvaranje svih perforacija bubnjića, neovisno o veličini i poziciji perforacije. |
| Databáze: | OpenAIRE |
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