Outcomes of same-day bilateral endoscopic tympanoplasty

Abstract

Objective:To investigate the feasibility of simultaneous bilateral endoscopic for tympanoplasty in patients with bilateral chronic suppurative otitis media. Method:Fifteen patients (30 ears) with bilateral chronic suppurative otitis media who underwent bilateral endoscopic transcanal tympanoplasty on the same day were enrolled in this study. The ear with worse-hearing was selected as the first operation side, the contralateral ear as the second one. The operation group consisted of 22 ears of Type 1 tympanoplasty, 5 ears of Type 2 tympanoplasty and 3 ears of Type 3 tympanoplasty. All second sides(15 ears) underwent Type 1 tympanoplasty. The cartilage-perichondrium graft was harvested from the tragal of the first side and was cut in two halves which could be used for the both sides. The graft success and hearing improvement were evaluated at the postoperative 6th month according to the follow up results of the endoscopic image and the pure-tone audiometry. Result:The graft take rate was 96.7%(27/30) without any retraction pockets or displaced grafts. The graft take rate of the first side was 93.3%(14/15), and the one of the second side was 100.0%(15/15). The average air conduction thresholds were (50.9±9.1) dB HL preoperatively and (32.0±6.0) dB HL postoperatively(P<0.01). The average air-bone gap overall improved from (30.2±7.9) dB HL preoperatively to (13.7±6.0) dB HL postoperatively(P<0.01). Conclusion:Bilateral same-day endoscopic tympanoplasty are safe and cost effective in appropriately selected patients. It can offer favorable out-comes in selected patients with chronic suppurative otitis media.