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10/28/2018  |   10:45 AM - 11:30 AM   |  Kramer Lecture Theater 3

Endoscopic Trans-canal Myringoplasty, Relevance for Sub-Saharan Africa

Following a period of training, both ENT registrars and Clinical Officers now carry out endoscopic myringoplasty in our department. This is a review of our experience with this technique and to compare it with the results of a systematic review of the literature particularly with regard to graft take-up rates and mean air-bone gaps closure. Data Sources: Local database MEDLINE, EMBASE, Study Selection: All cases done in our department with 3 month follow up were included in the local data. The literature review included all identified English-language articles reporting on endoscopic trans-canal myringoplasty (both pediatric and adult). No limitation was placed on study design or level of evidence. Data Extraction: Country, mean age, gender, HIV status, mean air-bone gap, type of anesthesia used, endoscope used, duration of follow-up and graft take rate. Twenty-one articles were included in the systematic review. The overall graft closure was 90% (95% CI 88-92). Sixteen studies provided the air bone gap gain. The mean air bone gap gain was 9.8. For the endoscopic transcanal tympanoplasties done in our unit we included 89 consecutive cases. Mean age was 24.3 years (8-65). Males represented 49.4% of the patients. There were seven HIV positive patients representing 8% of the patients. We currently have 49 patients who have been reviewed at 3 months and the graft take rate is 94%. Endoscopic trans-canal myringoplasty leads to high graft take-up rates with low mean air-bone gaps. The technique has not been reported in Sub-Saharan Africa but has a potential to play a significant role in surgical management of CSOM in this region particularly as the equipment needs are relatively low with minimal morbidity. Our preliminary data suggest this technique can be taught to both ENT trainees and Clinical Officers with excellent results.

• To review our experience with endoscopic transcanal tympanoplasty
• To compare endoscopic transcanal tympanoplasty with microscopic tympanoplasties
• To systematically review literature on endoscopic transcanal tympanoplasty

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Wakisa Mulwafu (POC,Primary Presenter), University of Malawi, College of Medicine, wmulwafu2@gmail.com;
ENT Surgeon and the Chairman of the Malawi Hearing health Strategic Plan Committeee.

ASHA DISCLOSURE: Financial - Nonfinancial -

AAA DISCLOSURE: Financial - No relevant financial relationship exists.

David Strachan (Co-Author), Bradford Royal Infirmary, drstrachan@aol.com;
ENT Surgeon with over 20 years experience

ASHA DISCLOSURE: Financial - Nonfinancial -

AAA DISCLOSURE: Financial - No relevant financial relationship exists.