Endoscopic versus microscopic approach in the treatment of atelectatic otitis media.
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| Title: | Endoscopic versus microscopic approach in the treatment of atelectatic otitis media. |
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| Authors: | Iannella, Giannicola (AUTHOR), Pace, Annalisa (AUTHOR), Greco, Antonio (AUTHOR), De Virgilio, Armando (AUTHOR), Gatti, Lodovica (AUTHOR), Maniaci, Antonino (AUTHOR), Lechien, Jerome R. (AUTHOR), Hervochon, Rémi (AUTHOR), Faramarzi, Ali (AUTHOR), Mat, Quentin (AUTHOR), Cherkes, Maryana (AUTHOR), Koiner-Graupp, Matthias (AUTHOR), Boscolo-Rizzo, Paolo (AUTHOR), Vaira, Luigi Angelo (AUTHOR), Magliulo, Giuseppe (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Nov/Dec2024, Vol. 144 Issue 11/12, p592-601. 10p. |
| Subjects: | Middle ear surgery, Tympanic membrane surgery, Otitis media, Preoperative period, Endoscopic surgery, Treatment effectiveness, Randomized controlled trials, Operative surgery, Middle ear, Descriptive statistics, Chronic diseases, Longitudinal method, Tympanoplasty, Microscopy, Comparative studies, Endoscopy, Ear surgery |
| Abstract (English): | Background: endoscopic ear surgery in patients Chronic Otitis Media(COM) media with eardrum atelectasis. Objective: to compare the postoperative outcomes and audiological results of the endoscopic approach versus the microscopic approach for treatment of COM media with eardrum atelectasis, using a randomized prospective model. Methods: Sixty patients were consecutively enrolled in the study and randomized into two groups: Group A 32 patients underwent canal wall up tympanoplasty (CWA); Group B 28 patients underwent tympanoplasty with an exclusive trans-meatal endoscopic approach. Audiological results and preoperative, intraoperative and postoperative outcomes were evaluated. Results: No statistical difference emerged between distribution of middle ear atelectasis patients grade 3 and 4 between the two surgical groups (p > 0.05). The group B appeared to have shorter surgical times than group A (69.8 min vs. 88.9 min). The graft success rate was estimated in 90.6% and 92.8% in group A and B respectively, without statistical differences between groups (p = 1). The Overall success rate was therefore calculated in 87.5% and 92.8% for both groups. Conclusion and significance: Endoscopic ear surgery could be a suitable approach for treating COM media with eardrum atelectasis with similar results compared with the Microscopic surgery. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 慢性中耳炎 (COM) 伴耳膜不张患者的内窥镜耳部手术。 采用随机前瞻性模型, 比较内窥镜手术与显微镜手术治疗伴耳膜不张的慢性中耳炎的术后结果和听力学结果。 连续招募 60 名患者, 并随机分为两组: A 组 32 名患者接受耳道壁式鼓室成形术 (CWA)；B 组 28 名患者接受用经耳道内窥镜的鼓室成形术。评估听力学结果和术前、术中和术后的结果。 两个手术组中 3 级和 4 级之间的中耳不张患者分布无统计学差异 (p > 0.05)。B 组手术时间似乎短于 A 组 (69.8 分钟 vs. 88.9 分钟)。 A 组和 B 组的移植成功率估计分别为 90.6% 和 92.8%, 两组之间没有统计学差异(p = 1)。因此, 经计算, 两组的总体成功率分别为 87.5% 和 92.8%。 内窥镜耳部手术可能是治疗 慢性中耳炎伴耳膜不张的合适方法, 与显微镜手术相比, 其结果相似。 [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: endoscopic ear surgery in patients Chronic Otitis Media(COM) media with eardrum atelectasis. Objective: to compare the postoperative outcomes and audiological results of the endoscopic approach versus the microscopic approach for treatment of COM media with eardrum atelectasis, using a randomized prospective model. Methods: Sixty patients were consecutively enrolled in the study and randomized into two groups: Group A 32 patients underwent canal wall up tympanoplasty (CWA); Group B 28 patients underwent tympanoplasty with an exclusive trans-meatal endoscopic approach. Audiological results and preoperative, intraoperative and postoperative outcomes were evaluated. Results: No statistical difference emerged between distribution of middle ear atelectasis patients grade 3 and 4 between the two surgical groups (p > 0.05). The group B appeared to have shorter surgical times than group A (69.8 min vs. 88.9 min). The graft success rate was estimated in 90.6% and 92.8% in group A and B respectively, without statistical differences between groups (p = 1). The Overall success rate was therefore calculated in 87.5% and 92.8% for both groups. Conclusion and significance: Endoscopic ear surgery could be a suitable approach for treating COM media with eardrum atelectasis with similar results compared with the Microscopic surgery. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00016489 |
| DOI: | 10.1080/00016489.2024.2424947 |
