Published online Aug 9, 2024. doi: 10.5319/wjo.v11.i2.18
Revised: May 22, 2024
Accepted: July 15, 2024
Published online: August 9, 2024
Processing time: 177 Days and 6.3 Hours
Endoscopic ear surgery (EES) provides a magnified, high-definition view of the otological surgical field. EES allows otologists to avoid surgical incisions and associated postoperative complications. It is an ideal technique for the perfor
To examine the efficacy of total Endoscopic Push Through Tragal Cartilage Tympanoplasty (EPTTCT), at our institution over a 10-year period.
A retrospective analysis of 168 cases of EPTTCT for closure of small to medium tympanic membrane perforations from 2013-2023 was conducted. Patient sex, age range (pediatric vs adult), etiology of injury, success rate, complications, and postoperative hearing status were collected.
Graft uptake results indicated success in 94% of patients, with less than a 2% complication rate. Postoperative pure tone audiometry demonstrated hearing status improvement in 69% of patients.
EPTTCT has been shown to be effective in tympanic membrane perforation closures with minimal complications. This study further demonstrates the efficacy and safety of these procedures in a single-center review.
Core Tip: Endoscopic push through tragal cartilage tympanoplasty is an effective method for tympanic membrane perforation repairs with a high degree of success with a low complication rate. It is effective for all age groups and shows marginally better success rates in the pediatric population. It also exhibits good postoperative hearing outcomes in over two-thirds of the patients in this 10-year single-center review.