Abstract
Objective
To assess the role of otoendoscopy in evaluating Eustachian tube and middle ear status during myringoplasty.
Background
Eustachian tube function has been the center of focus as a prognostic factor for middle ear surgery success because of its primary role in the middle ear aeration and in the pathogenesis of otitis media. Otoendoscopic evaluation of Eustachian tube allows visualization of the protympanic segment of the Eustachian tube and hidden recesses of the middle ear.
Patients and methods
In this prospective study, patients with a persistent dry central tympanic membrane perforation were operated at Otorhinolaryngology Department of Menoufia University Hospital in the period from March 2017 to February 2019. All patients were divided into two groups: group A included 50 cases that underwent otoendoscopic-assisted microscopic myringoplasty, and group B had 50 cases that underwent microscopic myringoplasty.
Results
This study included 100 patients, with a mean age of 30.2 years. Overall, 42% of the patients were male and 58% of the patients were female. Otoendoscopic examination of middle ear in group A showed 20% of cases with adhesions and secretions at tympanic orifice of the Eustachian tube opening plus 8% of cases with congested mucosa at middle ear apparatus. The success of graft uptake was 94% in group A and 84% in group B.
Conclusion
The result of this study supports the use of otoendoscopy in traditional microscopic myringoplasty. Endoscopy could be utilized efficiently to improve the visibility of the Eustachian tube opening and middle ear apparatus and then dealing with any pathology affecting them.
Article PDF
Similar content being viewed by others
References
Kawatra R, Maheshwari P, Kumar G. A comparative study of the techniques of myringoplasty − overlay underlay & interlay. IOSR J DentMed Sci 2014; 13:12–16.
Prasad KC, Hegde MC, Prasad SC, Meyappan H. Assessment of eustachian tube function in tympanoplasty. Otolaryngol Head Neck Surg 2009; 140:889–893.
Furukawa T, Watanabe T, Ito T, Kubota T, Kakehata S. Feasibility and advantages of transcanal endoscopic myringoplasty. Otol Neurotol 2014; 35:e140–e145.
Aoki K. Advantages of endoscopically assisted surgery for attic cholesteatoma. Diagn Ther Endosc 2001; 7:99–107.
Lade H, Choudhary SR, Vashishth A. Endoscopicvs. microscopicmyringoplasty: a different perspective. Eur Arch Otorhinolaryngol 2014; 271:1897–1902.
El-Rasheedy ALI, Abdel-Fattah AA, Abo El-Naga HA, El-Barbary MM. The role of simple office-based surgery in small central tympanic membrane perforation. Egypt J Otolaryngol 2019; 35:12–16.
Tos M. Importance of Estachian tube function in middle ear surgery. Ear Nose Throat J 1998; 77:744–747.
Gimenez F, Algarra M. The prognostic value of mucociliary clearance in predicting success in tympanoplasty. J Laryngol Otol 1993; 107:895–897.
Siedentop KH. Eustachian tube dynamics, size of the mastoid air cell system, and results with tympanoplasty. Otolaryngol Clin North Am 1972; 5:33–44.
Palva T. Surgical treatment of chronic middle ear disease, myringoplasty, and tympanoplasty. Acta Otolaryngol 1987; 104:179–184.
Swarts JDAC, Mandel EM, Villardo R. Eustachian tube function in adults. Ann Otol Rhinol Laryngol 2011; 120:220–225.
Tarabichi M, Najmi M. Visualization of the Eustachian tube lumen with Valsalva computed tomography. Laryngoscope 2015; 125:724–729.
Alper CM, Teixeira MS, Swarts JD. Quantitative description of Eustachian tube movements during swallowing as visualized by transnasal videoendoscopy. JAMA Otolaryngol Head Neck Surg 2015; 141:160–168.
Smith ME, Scoffings DJ, Tysome JR. Imaging of the Eustachian tube and its function: a systematic review. Neuroradiology 2016; 35:56–61.
Farahani F, Shariatpanahi E, Jahanshahi J, Poorolajal J. Diagnostic performance of endoscopic and microscopic procedures for identifying different middle ear structures and remaining disease in patients with chronic otitis media: a prospective cohort study. PLoS One 2016; 10: e0132890.
Lakpathi G, Sudarshan Reddy L, Anand. Comparative study of endoscope assisted myringoplasty and microscopic myringoplasty. Indian J Otolaryngol Head Neck Surg 2016; 68:185–190.
Shoeb M, Gite V. Comparison of surgical outcome of tympanoplasty assisted by the conventional microscopic method and endoscopic method. Int J Otorhinol Head Neck Surg 2016; 2:184–188.
Author information
Authors and Affiliations
Corresponding author
Additional information
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Behiery, E.A., Abdel-Shafy, I.A., Hussien, H.A. et al. Assessment of the role of otoendoscopy in evaluating Eustachian tube and middle ear status during myringoplasty. Egypt J Otolaryngol 35, 347–351 (2019). https://doi.org/10.4103/ejo.ejo_48_19
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.4103/ejo.ejo_48_19