-
Abstract: Endoscopic ear surgery has been applied in therapy of chronic suppurative otitis media and middle ear cholesteatoma these years. Offering a minimally invasive approach, it requires more experience and skills. The comparative outcomes of endoscopic and microscopic tympanoplasty remains unclear. Therefore, this article summarizes clinical research results of two surgical approaches, hoping to provide references for choice of endoscopy on treatment of chronic suppurative otitis media and middle ear cholesteatoma.
-
Key words:
- otitis media, suppurative /
- endoscopy /
- tympanoplasty /
- treatment outcome
-
-
表 1 耳内镜与显微镜下鼓膜修补术疗效比较(RCT研究)
研究(地区) 样本量
(耳内镜：显微镜)随访
时间手术有效率
(鼓膜愈合率)/%听力改善
(术前-术后气骨导间距差值)/dB耳内镜 显微镜 耳内镜 显微镜 Harugop〔8〕 50∶50 6个月 82.00 86.00 未涉及 未涉及 Lade〔9〕 30∶30 6个月 83.30 83.30 10.37 15.50 Jyothi〔10〕 60∶60 1年 91.67 93.30 16.16 19.541) Kaya〔11〕 13(双侧) 6个月 100.00 100.00 9.48 9.89 吴艳红〔12〕 63∶63 6个月 90.48 87.30 未涉及 未涉及 凡启军〔13〕 36∶36 6个月 97.22 94.44 11.74 11.83 与耳内镜手术比较，1)P < 0.05。 
下载: 导出CSV
-
[1] Cohen MS, Basonbul RA, Barber SR, et al. Development and validation of an endoscopic ear surgery classification system[J]. Laryngoscope, 2018, 128(4): 967-970. doi: 10.1002/lary.26802
[2] Tarabichi M. Endoscopic management of cholesteatoma: long-term results[J]. Otolaryngol Head Neck Surg, 2000, 122(6): 874-881. doi: 10.1016/S0194-5998(00)70017-9
[3] Kozin ED, Gulati S, Kaplan AB, et al. Systematic review of outcomes following observational and operative endoscopic middle ear surgery[J]. Laryngoscope, 2015, 125(5): 1205-1214. doi: 10.1002/lary.25048
[4] Yong M, Mijovic T, Lea J. Endoscopic ear surgery in Canada: a cross-sectional study[J]. J Otolaryngol Head Neck Surg, 2016, 45: 4. doi: 10.1186/s40463-016-0117-7
[5] Kiringoda R, Kozin ED, Lee DJ. Outcomes in Endoscopic Ear Surgery[J]. Otolaryngol Clin North Am, 2016, 49(5): 1271-1290. doi: 10.1016/j.otc.2016.05.008
[6] Tseng CC, Lai MT, Wu CC, et al. Learning curve for endoscopic tympanoplasty: Initial experience of 221 procedures[J]. J Chin Med Assoc, 2017, 80(8): 508-514. doi: 10.1016/j.jcma.2017.01.005
[7] Cohen MS, Landegger LD, Kozin ED, et al. Pediatric endoscopic ear surgery in clinical practice: Lessons learned and early outcomes[J]. Laryngoscope, 2016, 126(3): 732-738. doi: 10.1002/lary.25410
[8] Harugop AS, Mudhol RS, Godhi RA. A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty[J]. Indian J Otolaryngol Head Neck Surg, 2008, 60(4): 298-302. doi: 10.1007/s12070-008-0099-5
[9] Lade H, Choudhary SR, Vashishth A. Endoscopic vs microscopic myringoplasty: a different perspective[J]. Eur Arch Otorhinolaryngol, 2014, 271(7): 1897-1902. doi: 10.1007/s00405-013-2673-z
[10] Jyothi AC, Shrikrishna BH, Kulkarni NH, et al. Endoscopic Myringoplasty Versus Microscopic Myringoplasty in Tubotympanic CSOM: A Comparative Study of 120 Cases[J]. Indian J Otolaryngol Head Neck Surg, 2017, 69(3): 357-362. doi: 10.1007/s12070-017-1147-9
[11] Kaya I, Sezgin B, Sergin D, et al. Endoscopic versus microscopic type 1 tympanoplasty in the same patients: a prospective randomized controlled trial[J]. Eur Arch Otorhinolaryngol, 2017, 274(9): 3343-3349. doi: 10.1007/s00405-017-4661-1
[12] 吴艳红, 付涛, 赵娟. 耳内镜下鼓膜修补术与显微镜下鼓膜修补术的比较[J]. 中国临床研究, 2018, 31(5): 645-648. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201805018.htm
[13] 凡启军, 倪丽艳, 项松洁, 等. 耳内镜与显微镜下鼓膜成形术的临床疗效比较[J]. 中国内镜杂志, 2018, 24(10): 34-38. doi: 10.3969/j.issn.1007-1989.2018.10.006
[14] Plodpai Y, Paje N. The outcomes of overlay myringoplasty: Endoscopic versus microscopic approach[J]. Am J Otolaryngol, 2017, 38(5): 542-546. doi: 10.1016/j.amjoto.2017.05.007
[15] Tseng CC, Lai MT, Wu CC, et al. Comparison of the efficacy of endoscopic tympanoplasty and microscopic tympanoplasty: A systematic review and meta-analysis[J]. Laryngoscope, 2017, 127(8): 1890-1896. doi: 10.1002/lary.26379
[16] Kuo CH, Wu HM. In response to Letter to the Editor entitled "Commentary on: Comparison of endoscopic and microscopic tympanoplasty"[J]. Eur Arch Otorhinolaryngol, 2017, 274(12): 4275-4276. doi: 10.1007/s00405-017-4741-2
[17] Lee SY, Lee DY, Seo Y, et al. Can Endoscopic Tympanoplasty Be a Good Alternative to Microscopic Tympanoplasty? A Systematic Review and Meta-Analysis[J]. Clin Exp Otorhinolaryngol, 2019, 12(2): 145-155. doi: 10.21053/ceo.2018.01277
[18] Ohki M, Kikuchi S, Tanaka S. Endoscopic Type 1 Tympanoplasty in Chronic Otitis Media: Comparative Study with a Postauricular Microscopic Approach[J]. Otolaryngol Head Neck Surg, 2019, 161(2): 315-323. doi: 10.1177/0194599819838778
[19] Hsu YC, Kuo CL, Huang TC. A retrospective comparative study of endoscopic and microscopic Tympanoplasty[J]. J Otolaryngol Head Neck Surg, 2018, 47(1): 44. doi: 10.1186/s40463-018-0289-4
[20] Yawn RJ, Hunter JB, O'Connell BP, et al. Audiometric Outcomes Following Endoscopic Ossicular Chain Reconstruction[J]. Otol Neurotol, 2017, 38(9): 1296-1300. doi: 10.1097/MAO.0000000000001527
[21] Marchioni D, Soloperto D, Rubini A, et al. Endoscopic exclusive transcanal approach to the tympanic cavity cholesteatoma in pediatric patients: our experience[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(3): 316-322. doi: 10.1016/j.ijporl.2014.12.008
[22] Magliulo G, Iannella G. Endoscopic versus microscopic approach in attic cholesteatoma surgery[J]. Am J Otolaryngol, 2018, 39(1): 25-30. doi: 10.1016/j.amjoto.2017.10.003
[23] Glikson E, Yousovich R, Mansour J, et al. Transcanal endoscopic ear surgery for middle ear cholesteatoma[J]. Otol Neurotol, 2017, 38(5): e41-e45. doi: 10.1097/MAO.0000000000001395
[24] Huang TY, Ho KY, Wang LF, et al. A Comparative Study of Endoscopic and Microscopic Approach Type 1 Tympanoplasty for Simple Chronic Otitis Media[J]. J Int Adv Otol, 2016, 12(1): 28-31. doi: 10.5152/iao.2015.1011
[25] Kakehata S, Furukawa T, Ito T, et al. Comparison of Postoperative Pain in Patients Following Transcanal Endoscopic Versus Microscopic Ear Surgery[J]. Otol Neurotol, 2018, 39(7): 847-853. doi: 10.1097/MAO.0000000000001864
[26] Marchioni D, Mattioli F, Alicandri-Ciufelli M, et al. Endoscopic approach to tensor fold in patients with attic cholesteatoma[J]. Acta Otolaryngol, 2009, 129(9): 946-954. doi: 10.1080/00016480802468187
[27] Black N. Patient reported outcome measures could help transform healthcare[J]. BMJ, 2013, 346: f167. doi: 10.1136/bmj.f167
[28] Phillips JS, Yung MW. A systematic review of patient-reported outcome measures for chronic suppurative otitis media[J]. Laryngoscope, 2016, 126(6): 1458-1463. doi: 10.1002/lary.25657
[29] Cromwell DA, Mays N. The NHS outcomes framework 2012-3[J]. BMJ, 2012, 344: e1080. doi: 10.1136/bmj.e1080
[30] Baumann I, Gerendas B, Plinkert PK, et al. General and disease-specific quality of life in patients with chronic suppurative otitis media--a prospective study[J]. Health Qual Life Outcomes, 2011, 9: 48. doi: 10.1186/1477-7525-9-48
-
| 引用本文: |
李珊, 柯嘉, 马芙蓉. 耳内镜下鼓室成形术的临床研究进展[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(9): 853-856. doi: 10.13201/j.issn.2096-7993.2020.09.020
|
| Citation: |
LI Shan, KE Jia, MA Furong. Clinical research advances of endoscopic tympanoplasty[J]. J Clin Otorhinolaryngol Head Neck Surg, 2020, 34(9): 853-856. doi: 10.13201/j.issn.2096-7993.2020.09.020
|