ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT NỘI SOI VÁ NHĨ ĐƠN THUẦN BẰNG MÀNG SỤN BÌNH TAI ĐIỀU TRỊ VIÊM TAI GIỮA MẠN TÍNH THỦNG NHĨ TẠI BỆNH VIỆN TAI MŨI HỌNG MIỀN TRUNG

Abstract

 “Endoscopic Myringoplasty with Tragal Cartilage for Chronic Suppurative Otitis Media: Outcomes from the Central ENT Hospital”

ABSTRACT

Objectives: To describe the clinical and paraclinical characteristics of chronic suppurative otitis media with tympanic membrane perforation indicated for simple tympanoplasty, and to evaluate the outcomes of endoscopic tympanoplasty using tragal cartilage grafts.

Methods: A descriptive retrospective–prospective interventional study was conducted on 30 patients diagnosed with chronic suppurative otitis media with tympanic membrane perforation, who underwent endoscopic simple tympanoplasty with tragal cartilage grafts at the Central ENT Hospital from January 2024 to August 2025. Clinical, paraclinical features, anatomical and audiological outcomes were collected and analyzed.

Results: Female predominance was observed (83.3%), with a mean age of 40.77 ± 12.85 years. The most common symptom was otorrhea (93.3%). Perforations were mostly medium-sized (30%) and subtotal (33.3%); the tympanic mucosa was mainly thin and smooth (80%). Conductive hearing loss accounted for 66.7% of cases, with a mean preoperative air PTA of 33.67 ± 11.62 dB and mean ABG of 20 ± 6.29 dB. At 3 months postoperatively, tympanic membrane closure was achieved in 96.7%; mean air PTA improved by 8.97 dB; mean ABG decreased to 11.05 ± 4.43 dB, with 100% of patients achieving ABG ≤ 20 dB. No postoperative complications were reported.

Conclusions: Endoscopic tympanoplasty using tragal cartilage grafts provided high anatomical success and significant hearing improvement with minimal complications, proving to be an effective treatment for chronic suppurative otitis media with tympanic membrane perforation.