ĐÁNH GIÁ HIỆU QUẢ VÁ NHĨ QUA NỘI SOI BẰNG CÁC LOẠI VẬT LIỆU GHÉP KHÁC NHAU

Abstract

Introduction: Endoscopic tympanic membrane perforation repair is used to repair tympanic membrane perforation by placing a graft in patients with chronic otitis media (COM) with tympanic membrane perforation using a perichondral graft or cartilage-perichondral graft. Objective: To describe the clinical and paraclinical characteristics, and to evaluate the results of endoscopic tympanic membrane perforation repair in patients with COM with tympanic membrane perforation by using different material grafts. Materials and methods: A descriptive, prospective, clinical interventional cross-sectional study was performed on 102 cases of chronic otitis media with tympanic membrane perforation who underwent endoscopic tympanoplasty by using tragal perichondrium alone or in combination with tragal chondrium as a graft. Results: 102 cases were included in the study with an average age of 46,3 ± 12,4 years. The tympanic membrane healing rate after 6 months was up to 95.1%. The mean preoperative hearing loss was 39.7 ± 11.3 dB; the mean hearing improved to 26.5 ± 8.1 dB at 6 months. Conclusion: endoscopic tympanic surgery using either a perichondrium graft or a combination of chondrium-perichondrium graft resulted in tympanic membrane healing and improved hearing, as evidenced by the 06 month postoperative results in hearing and morphology of the tympanic membrane.