Endoscopic transcanal cartilage strengthning tympanoplasty for inactive squamous middle ear disease

Document Type : Original Article

Authors

1 M.B.B.CH

2 Assistant professor of Otorhinolaryngology, Faculty of Medicine - Al Azhar University

3 Professor of Otorhinolaryngology, Faculty of Medicine - Al Azhar University

https://doi.org/10.21608/aimj.2025.446506

Abstract

ABSTRACT
Background: Squamous Chronic Otitis Media (COM) may present as either a passive form (retraction pocket) or an active one (cholesteatoma formation). Aim: To evaluate the efficacy of transcanal endoscopic cartilage tympanoplasty for strengthening of drum in inactive squamous middle ear disease (retraction pocket) using sliced tragal cartilage, Patients and methods: This was a prospective study performed on twenty five individuals with inactive chronic otitis media squamous type (RPs) at Otorhinolaryngology department Al-Azhar University from August 2023 to August 2024, Results: Regarding the comparison of improvement in air bone gap postoperatively, 3 and 6 months after tympanoplasty, the results were highly significant (p value below 0.01) as mean air bone gap significantly decline from
24.5 dB preoperatively to 17.3 dB after 3 month and another significant declined occurred after 6 months of tympanoplasty to 11.5 dB with mean difference of 13 dB. Regarding outcome and success of graft among studied cases, it was found that success of graft was 92% (23 case) and failure rate was 8% (two cases had residual perforation and zero cases had recurrent retraction), Conclusion: We concluded from our study that transcanal endoscopic cartilage tympanoplasty was found to be  effective and safe method with a low complications rate also hearing was improved after 3 and 6 months.
 

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