ĐÁNH GIÁ KẾT QUẢ ÁP DỤNG PHƯƠNG PHÁP PHẪU THUẬT NỘI SOI VÁ NHĨ ĐƠN THUẦN UNDERLAY TẠI BỆNH VIỆN ĐA KHOA TỈNH HÀ TĨNH

Abstract

Objective: To evaluate the clinical characteristics, endoscopic findings, audiometric results, and surgical outcomes of underlay endoscopic myringoplasty at Ha Tinh General Hospital.Methods: A prospective descriptive study was conducted on 43 patients with non-cholesteatomatous chronic otitis media who underwent endoscopic underlay myringoplasty using temporalis fascia graft. Patients were followed up at 3 and 6 months postoperatively, with assessments of symptoms, endoscopic tympanic membrane status, and pure tone audiometry. Results: The mean patient age was 47,16 ± 14,7 years; 55.8% were aged 31–60. Females accounted for 60.5%. Central perforations were most common (39.5%). Tympanic membrane closure rate at 6 months was 95.3%. The mean air conduction threshold improved from 38,6±7,9 dB preoperatively to 24,5±8,9  dB postoperatively (p<0.05). No major complications were recorded.
Conclusion: Endoscopic underlay myringoplasty is a safe and effective technique that provides excellent anatomical and functional outcomes, suitable for routine implementation in provincial hospitals.