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Surgical Outcomes of Exclusive Endoscopic Type I Tympanoplasty in Inactive Mucosal Chronic Otitis Media: A Prospective Study

Year: 2026
Type: article
Abstract: Aims: To evaluate graft uptake rates, hearing outcomes, and complications following endoscopic Type I tympanoplasty in patients with inactive mucosal chronic suppurative otitis media (CSOM). Materials and Methods: This prospective observational study was conducted in a tertiary care teaching hospital for 3 years. Fifty patients aged 18–60 years with inactive mucosal chronic suppurative otitis media (CSOM) and central tympanic membrane perforation underwent exclusive transcanal endoscopic Type I tympanoplasty using tragal cartilage graft with a follow-up of 12 weeks. Pre-and postoperative hearing assessment was performed using pure tone audiometry. Surgical outcomes were assessed in terms of graft uptake, hearing improvement, operative time, postoperative stay, and complications. Results: Successful graft uptake was achieved in 48 patients (96%). The mean preoperative air-bone gap (ABG) was 40.62 ± 10.81 dB, which improved significantly to 5.88 ± 9.02 dB postoperatively ( P < 0.001). Forty-eight patients (96%) achieved postoperative ABG ≤25 dB. Mean operative time was 68.94 min. Postoperative complications were minimal, with graft failure observed in two patients (4%). No major intraoperative or postoperative complications were encountered. Conclusion: Endoscopic Type I tympanoplasty is a safe and effective procedure for inactive mucosal chronic suppurative otitis media (CSOM), offering excellent graft uptake and significant hearing improvement with minimal morbidity. Its minimally invasive nature and superior visualization make it a valuable alternative to conventional microscopic tympanoplasty.
DOI: 10.4103/indianjotol.indianjotol_13_26
Language: English
Field: Medicine
Open Access status: hybrid
OpenAlex ID: W7204248482
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Cites: 9
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Related to: 10