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Volume 7, Issue 5 (Suppl) Otolaryngol
ISSN: 2161-119X Otolaryngol, an open access journal Otolaryngology 2017
October 18-19, 2017
October 18-19, 2017 Dubai, UAE
4th International Conference on
Rhinology and Otology
Experience of endoscopic ear surgery in Bangladesh
Md Monjurul Alam
Bangabandhu Sheikh Mujib Medical University, Bangladesh
Background & Aim: Endoscopic ear surgery is an emerging technique with advancement highlighting advantages over the
traditional microscopic approach. In Bangladesh, we have started doing myringoplasty since 2005 with otoendoscope and
stopped due to various problems. But again, from 2007, all types of middle ear surgeries with nasal endoscopes have been done
with bright, wide and clear view. We did di erent types of transcanal tympanoplasty, ossicluplasty, stapedotomies, also few
cholesteatoma surgeries by endoscope. As rigid endoscopy allows, wide- eld view of the surgical eld improved resolution with
high magni cation and the ability to look around corners, enabling direct visualization of the hidden recesses including the
retrotympanum, epitympanum, supratubal recess, peritympanum and hypotympanum, granulation tissue or cholesteatoma
matrix can be removed easily.
Methods: A cross-sectional study was done during March, 2010 to June, 2014 in Otolaryngology & Head-Neck Surgery
Department of Bangabundhu, Sheik Mujib Medical University (BSMMU) a er having permission from ethical review board
of the university.
Results: During the study period, 1200 di erent types of transcanal endoscopic tympanoplasties like underlay and interlay
tympanoplasty using di erent gra materials; temporalis fascia, perichondrium, cartilage with gra taken up rate and hearing
gain equivalent with tympanoplasty was done by microscope. 517 di erent types of ossicluplasties and stapedotomies were done
with similar hearing gain done by microscope. 117 cholesteatoma surgery: Atticotomy, atticoantrostomy with reconstruction
have been done without any major complication or recurrence. Learning curve of surgery among the residents is higher with
endoscope.
Conclusions: Endoscopic ear surgery is a new technique which is gaining momentum in Bangladesh and there is enthusiasm
for its incorporation into future practice. Further, investment in training courses and guidance for those who are looking to
start or advance the use of endoscopes in their practice will be vital in the years to come.
Otolaryngol 2017, 7:5 (Suppl)
DOI: 10.4172/2161-119X-C1-023