James AL. Totally endoscopic tympanic membrane repair.
HNO 2021;
69:791-796. [PMID:
34041565 DOI:
10.1007/s00106-021-01052-x]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND
Transcanal totally endoscopic ear surgery (TEES) has become increasingly popular internationally; however, for surgeons trained with a two-handed microscope-guided approach, the potential challenges of adopting TEES can appear off-putting.
OBJECTIVES
This article outlines the pros and cons of TEES for tympanic membrane repair and describes aspects of surgical technique relevant to those who might adopt this approach.
MATERIALS AND METHODS
Data are provided from the author's experience along with a review of relevant literature, including several meta-analyses of tympanoplasty outcome.
RESULTS
Meta-analyses show that TEES tympanoplasty is as effective at closing tympanic membrane perforations and improving hearing as microscope-guided surgery. Yet patients benefit from avoidance of a skin incision and faster recovery.
CONCLUSION
Repair of the tympanic membrane with TEES is feasible and effective. This minimally invasive approach is very appealing to patients.
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