Bilateral same-day endoscopic tympanoplasty

Am J Otolaryngol. 2020 Mar-Apr;41(2):102397. doi: 10.1016/j.amjoto.2020.102397. Epub 2020 Jan 9.

Abstract

Purpose: Although bilateral same-day tympanoplasty is a faster and more comfortable procedure for patients, it is rarely performed due to its theoretical risks. The present study aims to evaluate the results of patients who underwent bilateral same-day endoscopic tympanoplasty.

Materials and methods: In this study, 26 patients and 52 ears were evaluated. Postoperative anatomic success rate, pre- and postoperative hearing test results, hearing gains and postoperative complications were recorded.

Results: Postoperative anatomic success rate was 92.3% (48/52). Audiological tests revealed the preoperative air-bone gap (ABG) as 19.1 ± 8.8 (7-35) dB and postoperative ABG as 9.8 ± 5.7 (5-25) dB. Postoperative ABG decreased significantly (p: <0.001) and 9.2 ± 4.6 (2-23) dB hearing gain was obtained. We did not observe any significant complications.

Conclusion: Bilateral same-day endoscopic tympanoplasty is a feasible surgical procedure with good anatomic and functional outcomes, low complication rate and good postoperative patient comfort.

Keywords: Bilateral tympanoplasty; Endoscopic tympanoplasty; Same-day tympanoplasty.

MeSH terms

  • Ambulatory Surgical Procedures / methods*
  • Endoscopy / methods*
  • Hearing
  • Hearing Tests
  • Humans
  • Postoperative Complications
  • Treatment Outcome
  • Tympanic Membrane / anatomy & histology
  • Tympanic Membrane / surgery
  • Tympanoplasty / methods*