Result of Endoscopic Tympanoplasty at Maharaj Nakhon Si Thammarat Hospital
Keywords:
Tympanoplasty, endoscopicAbstract
Background: Chronic otitis media is a common otologic condition that causes persistent otorrhea and hearing loss, thereby impairing quality of life. Endoscopic tympanoplasty is a minimally invasive surgical technique that provides enhanced visualization and has gained increasing popularity.
Objective: To evaluate tympanic membrane closure rates, hearing improvement, and factors associated with successful graft uptake following endoscopic tympanoplasty.
Material and Methods: A retrospective review was conducted of patients with tympanic membrane perforation who underwent endoscopic tympanoplasty at Maharaj Nakhon Si Thammarat Hospital between July 1, 2022, and October 31, 2024.
Results: 32 patients were included, of whom 26 (81.2%) achieved successful closure. The mean ABG improved significantly from 21.4±12.7 dB preoperatively to 10.3±9.3 dB postoperatively (p < 0.001). The only significant predictor of graft failure was a history of ear infection or frequent otorrhea within 3 months prior to surgery (p = 0.034). No significant associations were found for age, sex, comorbidities, smoking status, side or site of perforation, perforation size, prior tympanoplasty, anesthesia type, graft material, or surgical technique.
Conclusion: Endoscopic tympanoplasty achieved high closure rate and significant hearing improvement. Preoperative ear infection or frequent otorrhea within 3 months before surgery was the only factor significantly associated with graft failure.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
