Transcanal endoscopic myringoplasty: a case series in a university center

ABSTRACT INTRODUCTION: Transcanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. It can be performed using the microscopic or endoscopic approach. In the last decade, the use of endoscopes in ear surgery has increased significantly. This techniqu...

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Main Authors: Leandro de Borborema Garcia, Guilherme Figner Moussalem, José Santos Cruz de Andrade, João Mangussi-Gomes, Oswaldo Laércio Mendonça Cruz, Norma de Oliveira Penido, José Ricardo Gurgel Testa
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942016000300321&lng=en&tlng=en
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author Leandro de Borborema Garcia
Guilherme Figner Moussalem
José Santos Cruz de Andrade
João Mangussi-Gomes
Oswaldo Laércio Mendonça Cruz
Norma de Oliveira Penido
José Ricardo Gurgel Testa
author_facet Leandro de Borborema Garcia
Guilherme Figner Moussalem
José Santos Cruz de Andrade
João Mangussi-Gomes
Oswaldo Laércio Mendonça Cruz
Norma de Oliveira Penido
José Ricardo Gurgel Testa
author_sort Leandro de Borborema Garcia
collection DOAJ
description ABSTRACT INTRODUCTION: Transcanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. It can be performed using the microscopic or endoscopic approach. In the last decade, the use of endoscopes in ear surgery has increased significantly. This technique may allow "around the corner" visualization of small recesses, through narrow spaces, without the aid of canalplasty in unfavorable ear canals. OBJECTIVE: To describe a case series of transcanal endoscopic myringoplasty performed in a university service. The characteristics, advantages, and disadvantages of this technique are also discussed. METHODS: A case series study, based on the chart review of patients submitted to transcanal endoscopic myringoplasty in the period from January of 2012 to October of 2014. RESULTS: Data from 22 patients were analyzed. Tympanic perforation closure three months after surgery was observed in 86.4% of all patients. There was statistically significant improvement in pure tone average thresholds after surgery (p < 0.001). CONCLUSION: Transcanal endoscopic myringoplasty is a feasible, safe, and effective procedure; it can be an alternative to microscopic surgery.
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spelling doaj.art-bd29365b48e140329ac2f968fd59dca72022-12-21T22:42:50ZengElsevierBrazilian Journal of Otorhinolaryngology1808-868682332132510.1016/j.bjorl.2015.05.012S1808-86942016000300321Transcanal endoscopic myringoplasty: a case series in a university centerLeandro de Borborema GarciaGuilherme Figner MoussalemJosé Santos Cruz de AndradeJoão Mangussi-GomesOswaldo Laércio Mendonça CruzNorma de Oliveira PenidoJosé Ricardo Gurgel TestaABSTRACT INTRODUCTION: Transcanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. It can be performed using the microscopic or endoscopic approach. In the last decade, the use of endoscopes in ear surgery has increased significantly. This technique may allow "around the corner" visualization of small recesses, through narrow spaces, without the aid of canalplasty in unfavorable ear canals. OBJECTIVE: To describe a case series of transcanal endoscopic myringoplasty performed in a university service. The characteristics, advantages, and disadvantages of this technique are also discussed. METHODS: A case series study, based on the chart review of patients submitted to transcanal endoscopic myringoplasty in the period from January of 2012 to October of 2014. RESULTS: Data from 22 patients were analyzed. Tympanic perforation closure three months after surgery was observed in 86.4% of all patients. There was statistically significant improvement in pure tone average thresholds after surgery (p < 0.001). CONCLUSION: Transcanal endoscopic myringoplasty is a feasible, safe, and effective procedure; it can be an alternative to microscopic surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942016000300321&lng=en&tlng=enTympanoplastyMyringoplastyNatural orifice endoscopic surgeryMiddle ear
spellingShingle Leandro de Borborema Garcia
Guilherme Figner Moussalem
José Santos Cruz de Andrade
João Mangussi-Gomes
Oswaldo Laércio Mendonça Cruz
Norma de Oliveira Penido
José Ricardo Gurgel Testa
Transcanal endoscopic myringoplasty: a case series in a university center
Brazilian Journal of Otorhinolaryngology
Tympanoplasty
Myringoplasty
Natural orifice endoscopic surgery
Middle ear
title Transcanal endoscopic myringoplasty: a case series in a university center
title_full Transcanal endoscopic myringoplasty: a case series in a university center
title_fullStr Transcanal endoscopic myringoplasty: a case series in a university center
title_full_unstemmed Transcanal endoscopic myringoplasty: a case series in a university center
title_short Transcanal endoscopic myringoplasty: a case series in a university center
title_sort transcanal endoscopic myringoplasty a case series in a university center
topic Tympanoplasty
Myringoplasty
Natural orifice endoscopic surgery
Middle ear
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942016000300321&lng=en&tlng=en
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