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Comparative outcomes of endoscopic versus microscopic tympanoplasty in patients with dry central perforation following chronic suppurative otitis media

Published online by Cambridge University Press:  16 April 2025

Khalid Badr Open the ORCID record for Khalid Badr [Opens in a new window] ,
Syed Raza ,
Sarah Radwan ,
Basil Alqarni ,
Asail Alghamdi ,
Mutep Aljahdali ,
Mohammed Shaheen Open the ORCID record for Mohammed Shaheen [Opens in a new window] ,
Saeed Alghamdi  and
Fares Alghamdi
Khalid Badr*
Affiliation:
King Abdullah Medical City, Makkah, Saudi Arabia
Syed Raza
Affiliation:
King Abdullah Medical City, Makkah, Saudi Arabia
Sarah Radwan
Affiliation:
College of Medicine, Umm Al Qura University, Makkah, Saudi Arabia
Basil Alqarni
Affiliation:
College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Asail Alghamdi
Affiliation:
College of Medicine, Albaha University, Albaha, Saudi Arabia
Mutep Aljahdali
Affiliation:
College of Pharmacy, Umm Al Qura University, Makkah, Saudi Arabia
Mohammed Shaheen
Affiliation:
Department of Otolaryngology, Heraa General Hospital, Makkah, Saudi Arabia
Saeed Alghamdi
Affiliation:
King Abdullah Medical City, Makkah, Saudi Arabia
Fares Alghamdi
Affiliation:
King Abdullah Medical City, Makkah, Saudi Arabia
*
Corresponding author: Khalid Badr; Email: drkhale@hotmail.com
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Abstract

Objectives

This study compared endoscopic and microscopic tympanoplasty regarding surgical duration and clinical outcomes for chronic suppurative otitis media.

Methods

Retrospective study included patients who underwent either endoscopic or microscopic tympanoplasty at King Abdullah Medical City between January 2020 and May 2022. It compared the groups’ surgical duration, residual perforation incidence, post-operative pain and audiological outcomes.

Results

The study included 58 patients, 29 of whom underwent endoscopic and 29 underwent microscopic tympanoplasty. Endoscopic tympanoplasty had a significantly shorter average surgical duration (75.46 ± 21.04 minutes) than microscopic (126.66 ± 34.27 minutes). Non-significant differences were detected between groups regarding residual perforation, post-operative pain or hearing improvements.

Conclusion

Both procedures resulted in non-significant differences regarding hearing and surgical complications. However, endoscopic tympanoplasty had a significantly shorter surgical duration, making it a preferable option due to reducing time required. Further randomized studies should be conducted to answer which approach is superior.

Keywords

endoscopymicroscopymiddle ear surgeryotitis mediaotologytympanoplasty
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 6
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Khalid Badr takes responsibility for the integrity of the content of the paper

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