Articles Vol. 67 No. 10 25/10/2026

RESULTS OF ENDOSCOPIC TYMPANOPLASTY FOR CHRONIC OTITIS MEDIA AT MILITARY HOSPITAL 103

Pham Xuan Cao, Vu Van Minh
DOI: 10.52163/yhc.v67i10.6867
0 Views
0 Downloads
Abstract

Objectives: To describe the clinical and paraclinical characteristics of chronic otitis media (COM) and evaluate the outcomes of endoscopic type 1 tympanoplasty (myringoplasty).

Methods: A descriptive case series combining retrospective and prospective cohorts with postoperative follow-up was conducted on 30 patients diagnosed with COM who underwent endoscopic type 1 tympanoplasty at Military Hospital 103 from May 2025 to March 2026.

Results: The mean age was 37.8 ± 14.1 years, with the ≤ 30 age group accounting for the highest proportion (40.0%). A history of otorrhea was present in 100% of patients, hearing loss in 80.0%, and tinnitus in 56.7%. All perforations (100%) were located in the pars tensa, with small perforations (< 25%) comprising 60.0%. Conductive hearing loss was observed in 100% of cases, with a median pure-tone average (PTA) of 35.0 [30.0–37.5] dB and a median air-bone gap (ABG) of 21.3 [18.8–25.3] dB. At 3 months postoperatively, the prevalence of hearing loss decreased from 80.0% to 3.3%, and tinnitus from 56.7% to 13.3%. The graft take rate (complete tympanic membrane closure) was 96.7%. The postoperative median ABG was 7.5 [5.9–10.0] dB, representing an improvement of 13.75 dB. The functional success rate (postoperative ABG ≤ 20 dB) reached 100%.

Conclusions: Endoscopic type 1 tympanoplasty yields favorable outcomes, characterized by significant relief of subjective symptoms, a high graft take rate (96.7%), statistically significant hearing improvement (Wilcoxon signed-rank test, p < 0.001), and a 100% functional success rate.

Keywords
Chronic otitis media; Type 1 tympanoplasty; Endoscopic tympanoplasty; Tragal cartilage-perichondrium graft.
References
[1]
1. World Health Organization (2004). Chronic suppurative otitis media: Burden of illness and management options. Google Scholar
[2]
2. Bộ Y tế (2016). Hướng dẫn chẩn đoán và điều trị một số bệnh về tai mũi họng. Nhà xuất bản Y học. Hà Nội. Google Scholar
[3]
3. Yang, Q., Wang, B., Zhang, J., Liu, H., Xu, M., & Zhang, W. (2022). Comparison of endoscopic and microscopic tympanoplasty in patients with chronic otitis media. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 279(10), 4801–4807. https://doi.org/10.1007/s00405-022-07273-2 Google Scholar
[4]
4. Kawale, M., Landge, S., Garg, D., & Kanani, K. (2023). Endoscopic Versus Microscopic Type 1 Tympanoplasty (Myringoplasty) in a Rural Tertiary Care Hospital in India: A Retrospective Comparative Study. Cureus, 15(3), e36109. https://doi.org/10.7759/cureus.36109 Google Scholar
[5]
5. Phạm Văn Sinh (2006). Nghiên cứu đặc điểm lâm sàng viêm tai giữa mạn thủng nhĩ đơn thuần và đánh giá hiệu quả kỹ thuật nội soi vá nhĩ. Luận văn BSCKII. Trường Đại học Y Hà Nội. Google Scholar
[6]
6. Tạ, H. S., & Nguyễn , C. H. (2024). nghiên cứu đặc điểm lâm sàng, cận lâm sàng của viêm tai giữa mạn tính, kết quả vá nhĩ đơn thuần đường trong ống tai. Tạp chí Tai Mũi Họng Việt Nam, 69(66), 16-22. https://doi.org/10.60137/tmhvn.v69i66.164 Google Scholar
[7]
7. Quản, T. N., Nghiêm, Đ. T., & Nguyễn, P. L. (2023). Một số đặc điểm viêm tai giữa mạn tính ổn định và kết quả phẫu thuật nội soi vá nhĩ đơn thuần bằng màng sụn bình tai tại bệnh viện quân y 103. Tạp chí Y Dược học Quân sự, 48(7), 53-62. https://doi.org/10.56535/jmpm.v48i7.386 Google Scholar
[8]
8. Nguyễn, T. H., & Nguyễn, T. T. (2026). Đánh giá kết quả phẫu thuật nội soi vá nhĩ đơn thuần tại bệnh viện đa khoa thành phố vinh. Tạp chí Tai Mũi Họng Việt Nam, 70(72). https://doi.org/10.60137/tmhvn.v70i72.299 Google Scholar
[9]
9. Tseng, C. C., Lai, M. T., Wu, C. C., Yuan, S. P., & Ding, Y. F. (2017). Comparison of endoscopic transcanal myringoplasty and endoscopic type I tympanoplasty in repairing medium-sized tympanic perforations. Auris, nasus, larynx, 44(6), 672–677. https://doi.org/10.1016/j.anl.2016.12.007 Google Scholar
[10]
10. Tan, H. E., Santa Maria, P. L., Eikelboom, R. H., Anandacoomaraswamy, K. S., & Atlas, M. D. (2016). Type I Tympanoplasty Meta-Analysis: A Single Variable Analysis. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 37(7), 838–846. https://doi.org/10.1097/MAO.0000000000001099 Google Scholar