Comparison of efficacy of endoscopic versus microscopic transcanal inlay butterfly cartilage myringoplasty

• Published in: American journal of otolaryngology 2021-07, Vol.42 (4), p.102978-102978, Article 102978
• Main Authors: Ravi, Nimisha, Meher, Ravi, Rathore, P.K., Singh, Ishwar
• Format: Article
• Language: English
• Subjects: Cartilage; Endoscope; Endoscopes; Endoscopy; Feasibility studies; Local anesthesia; Microscope; Myringoplasty; Otolaryngology; Pain; Patients; Statistical analysis; Surgery; Surgical outcomes
• ISSN: 0196-0709; 1532-818X
• DOI: 10.1016/j.amjoto.2021.102978

Butterfly cartilage myringoplasty has been widely practiced over two decades due to its simplicity and feasibility. The present study is aimed to compare the efficacy of endoscopic versus microscopic transcanal inlay butterfly cartilage myringoplasty. In this randomised control trial, fifty patients with small to medium sized perforation were included. The first group underwent butterfly cartilage myringoplasty using endoscope and the second group using microscope and, outcomes were compared. Graft success rates in the endoscopic group was 96% ± 4% and in the microscopic group was 92% ± 8%. The improvement in the Air-Bone Gap was 11.00 ± 7.21 dB in the endoscopic group and 10.8 ± 7.59 dB in the microscopic group. The difference was not statistically significant. The overall success rates and hearing outcomes were similar in the endoscopic and microscopic group with added advantages of less pain, shorter operative time and better field of vision in the endoscopic group. •Butterfly cartilage myringoplasty has anatomical and functional success rates comparable with conventional myringoplasty.•Endoscopic group has added benefits of better visualization and shorter operation time than the microscopic technique.•Graft is harvested from a small incision on the medial side of the tragus which provided a better cosmetic outcome.