Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-16T15:45:32.424Z Has data issue: false hasContentIssue false

Endoscopic transcanal myringoplasty

Published online by Cambridge University Press:  29 June 2007

Ahmed El-Guindy*
Affiliation:
Tanta, Egypt
*
Dr Ahmed El-Guindy, 57 Said Street, Tanta, Egypt.

Abstract

The role of the rigid endoscope has been evaluated in the management of 36 cases with dry central perforation of the tympanic membrane. The graft take rate was 91.7 per cent and the air-bone gap was closed to less than 10 dB in 83.3 per cent.

The use of the rigid endoscope in the management of dry central perforation of the drum represented a significant advance in middle ear surgery. It is used, in correlation with manometry, to evaluate the tubal function before ear surgery and to treat hidden causes of tubal obstruction. It replaces the operating microscope in observation and surgery of the tympanic membrane perforation. It overcomes anatomical variations that hamper access to the entire tympanic membrane during ear surgery. It provides an extremely sharp image with high resolution.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bluestone, C. D., Paradise, J. L., Beery, Q. C. (1972) Physiology of the Eustachian tube in the pathogenesis and management of middle ear effusions. Laryngoscope, 82: 16541670.CrossRefGoogle ScholarPubMed
Brown, O., Meyerhoff, W. (1991) Diseases of the tympanic membrane. In Otolaryngology (Paparella, M., Shumrick, D., Gluckman, J. and. Meyerhoff, W., eds.) Vol. II, Ch. 25, pp. 12831288, W. B. Saunders: Philadelphia.Google Scholar
Chen, B., Fry, T. L., Fischer, N. D. (1979) Otoscopy and photography: a new method. Annals of Otology, Rhinology and Laryngology, 88: 771773.CrossRefGoogle ScholarPubMed
El-Guindy, A. (1991) A correlative manometric and endoscopic study of tubal function in dry central perforation of the tympanic membrane. Journal of Laryngology and Otology, 105: 716720.CrossRefGoogle ScholarPubMed
Gibb, A. G., Chang, S.-K. (1982) Myringoplasty (a review of 365 operations). Journal of Laryngology and Otology, 96: 915930.CrossRefGoogle ScholarPubMed
Goycoolea, M. V. (1989) Tympanoplasty. In Atlas of Otologic Surgery (Goycoolea, M. V., Paparella, M. M., Nissen, R. L., eds.) Ch. 12, pp. 223233, W. B. Saunders: Philadelphia.Google Scholar
Halik, J. J., Smyth, G. D. (1988) Long-term results of tympanic membrane repair. Otolaryngology—Head and Neck Surgery, 98(2): 162169.CrossRefGoogle ScholarPubMed
Konrad, H. R., Berci, G., Ward, P. (1979) Pediatric otoscopy and photography of the tympanic membrane. Archives of Otolaryngology, 105: 431433.CrossRefGoogle ScholarPubMed
Paparella, M., Meyerhoff, W., Morris, M., Da Costa, S. (1991) Mastoidectomy and tympanoplasty. In Otolaryngology (Paparella, M., Shumrick, D., Gluckman, J. and. Meyerhoff, W., eds.) Vol. II, Ch. 32, pp. 14161417, W. B. Saunders: Philadelphia.Google Scholar
Sheehy, J. L. (1984) Surgery of chronic otitis media. In Otolaryngology (English, G. M., ed.) Vol. I, Ch. 20, pp. 186, Harper and Raw Publishers: Philadelphia.Google Scholar
Smyth, G. D. L. (1985) Chronic otitis media. In Otolaryngology (English, G. M., ed.) Vol. 1, Ch. 19, Harper and Raw Publishers: Philadelphia, p. 134.Google Scholar
Stammberger, H. (1986) An endoscopic study of tubal function and the diseased ethmoid sinus. Archives of Oto-Rhino-Laryngology, 243: 254259.CrossRefGoogle ScholarPubMed