Endoscopic transcanal cartilage strengthning tympanoplasty for inactive squamous middle ear disease | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 4, April 2025, Pages 87-91 PDF (239.73 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446506 | ||
| Authors | ||
| Shady Ibrahim Abd El Hamid Eid Elnagar* 1; Ahmed Seddik Abd El Galil* 2; Talal Mohamed Zowail* 3 | ||
| 1M.B.B.CH | ||
| 2Assistant professor of Otorhinolaryngology, Faculty of Medicine - Al Azhar University | ||
| 3Professor of Otorhinolaryngology, Faculty of Medicine - Al Azhar University | ||
| 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. | ||
| Keywords | ||
| Inactive squamous middle ear disease; endoscopic transcanal cartilage; outcome | ||
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