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ORIGINAL ARTICLE
Year : 2019  |  Volume : 35  |  Issue : 4  |  Page : 347-351

Assessment of the role of otoendoscopy in evaluating Eustachian tube and middle ear status during myringoplasty


1 Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Egypt
2 Department of Otorhinolaryngology, Shebin El-Kom Teaching Hospital, Al Minufya, Egypt

Correspondence Address:
MBBCh Mahmoud F Hassan
Otorhinolaryngology Department, Shebin El-Kom Teaching Hospital, Al Minufya, 54123
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejo.ejo_48_19

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Objective To assess the role of otoendoscopy in evaluating Eustachian tube and middle ear status during myringoplasty. Background Eustachian tube function has been the center of focus as a prognostic factor for middle ear surgery success because of its primary role in the middle ear aeration and in the pathogenesis of otitis media. Otoendoscopic evaluation of Eustachian tube allows visualization of the protympanic segment of the Eustachian tube and hidden recesses of the middle ear. Patients and methods In this prospective study, patients with a persistent dry central tympanic membrane perforation were operated at Otorhinolaryngology Department of Menoufia University Hospital in the period from March 2017 to February 2019. All patients were divided into two groups: group A included 50 cases that underwent otoendoscopic-assisted microscopic myringoplasty, and group B had 50 cases that underwent microscopic myringoplasty. Results This study included 100 patients, with a mean age of 30.2 years. Overall, 42% of the patients were male and 58% of the patients were female. Otoendoscopic examination of middle ear in group A showed 20% of cases with adhesions and secretions at tympanic orifice of the Eustachian tube opening plus 8% of cases with congested mucosa at middle ear apparatus. The success of graft uptake was 94% in group A and 84% in group B. Conclusion The result of this study supports the use of otoendoscopy in traditional microscopic myringoplasty. Endoscopy could be utilized efficiently to improve the visibility of the Eustachian tube opening and middle ear apparatus and then dealing with any pathology affecting them.


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