Rahman KMA, Majeed K, Finnegan E, Keogh I. Endoscopic push through tragal cartilage tympanoplasty: A 10-year retrospective review of our technique and outcomes. World J Otorhinolaryngol 2024; 11(2): 18-24 [DOI: 10.5319/wjo.v11.i2.18]
Corresponding Author of This Article
K M Abidur Rahman, MB, BCh, BAO, MCh, MSc, Doctor, Ear, Nose, and Throat/Head and Neck Surgery, Galway University Hospital, Newcastle Road, Galway H91 YR71, Ireland. arahman@tcd.ie
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Otorhinolaryngol. Aug 9, 2024; 11(2): 18-24 Published online Aug 9, 2024. doi: 10.5319/wjo.v11.i2.18
Endoscopic push through tragal cartilage tympanoplasty: A 10-year retrospective review of our technique and outcomes
K M Abidur Rahman, Khalid Majeed, Emma Finnegan, Ivan Keogh
K M Abidur Rahman, Khalid Majeed, Emma Finnegan, Ivan Keogh, Ear, Nose, and Throat/Head and Neck Surgery, Galway University Hospital, Galway H91 YR71, Ireland
Ivan Keogh, Academic Department of Otorhinolaryngology and Head and Neck Surgery, University of Galway, Galway H91 TK33, Ireland
Author contributions: Rahman KMA, Majeed K, and Keogh I designed the research study, performed the research; Rahman KMA, Majeed K, Finnegan E, and Keogh I analyzed the data; Rahman KMA, Finnegan E, and Keogh I wrote the manuscript; All authors have read, edited, and approved the final manuscript.
Institutional review board statement: The study’s application of clinical data did not require an institutional review board statement.
Informed consent statement: All study participants provided informed written consent prior to study enrollment for the surgical procedure.
Conflict-of-interest statement: The authors of this manuscript certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: K M Abidur Rahman, MB, BCh, BAO, MCh, MSc, Doctor, Ear, Nose, and Throat/Head and Neck Surgery, Galway University Hospital, Newcastle Road, Galway H91 YR71, Ireland. arahman@tcd.ie
Received: February 9, 2024 Revised: May 22, 2024 Accepted: July 15, 2024 Published online: August 9, 2024 Processing time: 177 Days and 6.3 Hours
Abstract
BACKGROUND
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 performance and teaching of tympanoplasty.
AIM
To examine the efficacy of total Endoscopic Push Through Tragal Cartilage Tympanoplasty (EPTTCT), at our institution over a 10-year period.
METHODS
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.
RESULTS
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.
CONCLUSION
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.
