Zhang, Chi1,2; Zhou, Feng4; Geng, Juan3; Huang, Huie 2; Zheng, Meihui1; Fu, Min1; Cui, Yong1
1 Department of Otorhinolaryngology, Guangdong Provincial People’s Hospital, No.106, Zhong Shan Er Lu, Guangzhou, China;
2 Shantou University of Medical School, Shantou, China;
3 Department of Otorhinolaryngology, Guangzhou Zhongxiyi Jiehe Hospital, Guangzhou, China;
4 ENT Department, Dong Guan Guang Hua Hospital, Dongguan, China.
Introduction:
Endoscopic ear surgery (EES) is popular among otologists because it is minimally invasive. Myringoplasty is a common procedure in otologic surgery. However, the disadvantage of EES is the single-handed technique. Therefore, we enrolled an assistant to hold an endoscope in endoscopic myringoplasty to overcome this shortcoming. We aim to evaluate the double-handed technique with an assistant holding the endoscope in endoscopic myringoplasty and report our preliminary experience.
Methods:
–Study design retrospective case review
-Setting tertiary referral center
-Patients All patients with tympanic membrane perforations who underwent endoscopic myringoplasty using a double-handed technique with an assistant holding the endoscope from July 2016 to July 2018 were enrolled into study.
-Intervention Assistants selected from surgical residents were enrolled to aid endoscopic myringoplasty. All patients were undergone endoscopic myringoplasty using a double-handed technique with an assistant holding the endoscope.
Results:
69 ears were enrolled into the study. The follow-up results of 69 cases at 6 months revealed that, among the 69 cases, 8 re-perforation (88.4%) occurred. Bleeding management were better than single handed technique and some surgical procedures could be achieved easily.
Conclusion:
An assistant holding the endoscope using the double-handed technique in endoscopic myringoplasty could cooperate with the surgeon. The double-handed technique could be achieved in EES.