Application of Endoscope and Microscope in Tympanoplasty for Middle-aged and Young Patients with CSOM

Wei DAI; Chuan HU

doi:10.12259/j.issn.2095-610X.S20240416

Volume 45 Issue 4

Apr. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(4): 113-119

Wei DAI, Chuan HU. Application of Endoscope and Microscope in Tympanoplasty for Middle-aged and Young Patients with CSOM[J]. Journal of Kunming Medical University, 2024, 45(4): 113-119. doi: 10.12259/j.issn.2095-610X.S20240416

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Wei DAI, Chuan HU. Application of Endoscope and Microscope in Tympanoplasty for Middle-aged and Young Patients with CSOM[J]. Journal of Kunming Medical University, 2024, 45(4): 113-119. doi: 10.12259/j.issn.2095-610X.S20240416

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Application of Endoscope and Microscope in Tympanoplasty for Middle-aged and Young Patients with CSOM

doi: 10.12259/j.issn.2095-610X.S20240416

Wei DAI,
Chuan HU

Dept. of Otorhinolaryngology Chengdu Office Hospital，Xizang Autonomous Region People’s Government，Chengdu Sichuan 610041，China

Received Date: 2023-11-29
Publish Date: 2024-04-25

Abstract

Abstract

Objective To explore the application of otoscopic and microscopic tympanoplasty in the treatment of chronic suppurative otitis media （CSOM） in young and middle-aged patients, and provide a reference for clinical treatment. Methods A total of 104 young and middle-aged patients with CSOM admitted to Chengdu Office Hospital of the People’ s Government of the Xizang Autonomous Region from April 2020 to June 2022 were randomly divided into an Ear endoscopy group （52 cases） and a Microscope group （52 cases）. The two groups were compared in terms of pre- and post-operative hearing conditions, vascular permeability-related factors [platelet activating factor （PAF）, fibronectin （Fn）], pain intensity （visual analogue scales, VAS score）, sleep quality （Pittsburgh Sleep Quality Index, PSQI score）, inflammatory status [transforming growth factor-β1 （TGF-β1）, transforming growth factor-β2 （TGF-β2）, interleukin-8 （IL-8）, soluble interleukin 2 receptor （sIL-2R）], and complications. Results There was no significant difference in air bone gap （ABG） at each frequency between the two groups at 1 month and 3 months after surgery. （P > 0.05）. The VAS and PSQI scores in the Ear endoscopy group were lower than those in the Microscope group 1 month and 3 months after surgery （ P < 0.05） . The PAF level in the Ear endoscopy group was lower and the Fn level was higher than that in the Microscope group 1 month and 3 months after surgery （ P < 0.05）; serum TGF-β1, TGF-β2, IL-8, and sIL-2R levels were lower in the Ear endoscopy group than in the Microscope group 1 month and 3 months after surgery （ P < 0.05）. There was no significant difference in the incidence of complications between the Ear endoscopy group and the Microscope group （ P > 0.05）. Conclusion Both surgical methods are safe and reliable treatment options for young and middle-aged patients with CSOM. Compared with microscopic surgery, otic endoscopic tympanoplasty has a shorter recovery time, facilitates pain relief, improves quality of life, and improves vascular permeability, reducing the body's inflammatory response.
- Pyogenic otitis media,
- Ear endoscopy; Microscope; Tympanoplasty,
- Degree of pain,
- Inflammatory state,
- Complications

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References(20)

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