Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of E.N.T

Aim of the work: To evaluate the efficacy of the endoscopic- assisted permeatal transperforation tragal cartilage myringoplasty by assessing the graft take rate and hearing results and to compare it to microscopic myringoplasty of the same technique. Patients and methods: Thirty patients were randomly divided into 2 equal groups. Group 1 had endoscopic-assisted permeatal transperforation tragal cartilage myringoplasty, while group 2 had microscopic-assisted permeatal transperforation tragal cartilage myringoplasty. Results: In this study, the case is considered to be ''successful'' if there are complete healing of the tympanic membrane and improvement of hearing postoperatively. In group 1: 13/15 patients (86.67%) are considered successful. In group 2: 12/15 patients (80%) are considered successful with no statistical difference between the 2 groups. Conclusion: Cartilage is considered one of the most suitable materials used for myringoplasty. The inlay (butterfly) cartilage myringoplasty is considered a relatively recent technique with a successful graft take rate and improvement of hearing. The microscopic- assisted myringoplasty is the standard technique for myringoplasty. The endoscopic-assisted myringoplasty is a trusted technique for myringoplasty which is considered as much efficient as the microscopic technique or even superior to it in certain circumstances

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