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Clin Otolaryngol. 2020 Jan 28;:
Authors: Lee YC, Chao WC
Abstract
Tympanoplasty is a standard procedure for the management of chronic otitis media with tympanic membrane perforation; however, a visible cutaneous scar from exposing the surgical field or harvesting the grafting material is usually inevitable and may cause cosmetic concerns for patients. Eustachian tube dysfunction has been frequently noted in patients with nasal obstruction and may have a negative effect on the success rate of tympanoplasty. Treatment of the nasal obstruction and associated Eustachian tube dysfunction may be considered before tympanoplasty if severe nasal diseases are observed in the same patient. The present study introduced transcanal endoscopic type I tympanoplasty with nasal septal perichondrial grafts harvested concurrently with septoturbinoplasty. For patients with chronic tympanic membrane perforation and symptomatic nasal obstruction, the combined procedure offers the advantage of avoiding staged procedures and provides excellent cosmesis with adequate surgical results. By using transseptal suture after septoplasty and inferior turbinate coblation techniques, nasal packing was not needed after surgery. Eustachian tube dysfunction from nasal packing placement can therefore be avoided. Transcanal endoscopic type I tympanoplasty with nasal septal perichondrial graft and same-stage septoturbinoplasty is potentially a useful option for patients who need both procedures.
PMID: 31991055 [PubMed - as supplied by publisher]
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