TY - JOUR T1 - Endoscopic type 3 tympanoplasty: Functional outcomes in chronic otitis media JO - Acta Otorrinolaringológica Española T2 - AU - Bartel,Ricardo AU - Cruellas,Francesc AU - Hamdan,Miriam AU - Benjumea,Felipe AU - Huguet,Gabriel AU - Gonzalez-Compta,Xavier AU - Cisa,Enric AU - Manos,Manel SN - 00016519 M3 - 10.1016/j.otorri.2019.02.001 DO - 10.1016/j.otorri.2019.02.001 UR - https://www.elsevier.es/es-revista-acta-otorrinolaringologica-espanola-102-articulo-endoscopic-type-3-tympanoplasty-functional-S0001651919300421 AB - BackgroundType 3 tympanoplasty is the surgery of choice for middle ear reconstruction in cases where an integral stapes suprastructure and mobile footplate are present. ObjectiveThe objective of this study was to obtain functional results after endoscopic type 3 tympanoplasty in chronic otitis media. Materials and methodsProspective study including 24 patients who underwent endoscopic type 3 tympanoplasty, using PORP for ossicular chain reconstruction (OCR) and cartilage graft for tympanic membrane reconstruction. Audiograms were made preoperatively, and 6 months after surgery. ResultsDry, closed, self-cleaning ears were obtained in 91.7% of the cases. Mean preoperative air-bone gap (ABG) was 30.4dB, mean postoperative ABG was 16.7dB, dB gain of 13.6dB. ABG closure rate to 20dB or less of 79.2%, and to 10dB or less of 29.2%. Conclusion and significanceEndoscopic tympanoplasty and OCR is a valid option for surgeons who are comfortable with the use of endoscopes for middle ear surgery as it allows improved visualization of the prosthesis and graft placement during middle ear reconstruction. ER -