Endoscopic versus microscopic type 1 tympanoplasty in the same patients: a prospective randomized controlled trial

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dc.contributor.authorKaya, Isa
dc.contributor.authorSezgin, Baha
dc.contributor.authorSergin, Demet
dc.contributor.authorOzturk, Arin
dc.contributor.authorEraslan, Sevinc
dc.contributor.authorGode, Sercan
dc.contributor.authorBilgen, Cem
dc.contributor.authorKirazli, Tayfun
dc.date.accessioned2019-10-27T11:06:09Z
dc.date.available2019-10-27T11:06:09Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractThe aim of this study was to compare the audiologic outcomes of the patients who underwent endoscopy on one ear and microscopic tympanoplasty on the other, and to investigate the operative time, graft success, postoperative pain and health status. This prospective randomized controlled study was carried out in Ege University ENT Department between February 2015 and September 2016. The patients who had bilateral chronic otitis media, normal middle ear mucosa and a hearing loss difference of 10 dB or less between the two ears randomly underwent microscopic tympanoplasty in one ear and endoscopic tympanoplasty in the contralateral ear, with 6-month intervals. 13 patients were included in the study with a mean age of 36.17 +/- 3.61 years (range 17-53 years, 7 female, 6 male). The improvement in air-bone gap for groups 1 (endoscopic) and 2 (microscopic) was 9.48 +/- 5.23 and 9.89 +/- 2.79 dB, respectively. The duration of the surgery in group 1 was significantly lower than that in group 2 (p < 0.01). VAS scores were 2.15 +/- 0.37 and 3.76 +/- 1.64 cm for groups 1 and 2, respectively (p = 0.006). The endoscopic approach for type 1 tympanoplasty offers shorter surgery time, better health status and lower postoperative pain than microscopic surgery. In addition, endoscopic surgery offers comparable improvement in air-bone gap and similar graft success. The endoscopic approach has comparable audiological and morphological graft outcomes with the microscopic one. The endoscopic approach yielded better health and pain status for the same patients. Level of evidence This is an individual randomized controlled trial. The level of evidence is 1b.en_US
dc.identifier.doi10.1007/s00405-017-4661-1en_US
dc.identifier.endpage3349en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue9en_US
dc.identifier.pmid28669049en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3343en_US
dc.identifier.urihttps://doi.org/10.1007/s00405-017-4661-1
dc.identifier.urihttps://hdl.handle.net/11454/31802
dc.identifier.volume274en_US
dc.identifier.wosWOS:000407374100011en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndoscopic tympanoplastyen_US
dc.subjectMicroscopic tympanoplastyen_US
dc.subjectType 1 tympanoplastyen_US
dc.subjectOperative timeen_US
dc.titleEndoscopic versus microscopic type 1 tympanoplasty in the same patients: a prospective randomized controlled trialen_US
dc.typeArticleen_US

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