Vol. 7, Issue 1, Part A (2025)

Background: Tympanoplasty is a surgical intervention for the repair of perforated tympanic membranes. Some of the current popular approaches include endoscopic and microscopic approaches. While both approaches tend to have high success rates, efficacy of surgical outcome may vary. Objective: This paper compares the impacts of using an endoscopic and microscopic surgical approach on postoperative outcomes in patients with tympanoplasty. 
Methods: Patients aged from 15 to 55 years were divided into two groups: Group A, or the endoscopic group, and Group B, or the microscopic group. The research took place at Sir Salimullah Medical College, Dhaka, Bangladesh, between july 2022 to June 2023. Patients were selected with a view on the number sequence. Data regarding graft uptake, hearing improvement, recovery time, postoperative pain, and complications were documented. The results of the tests were tabulated and analyzed statistically to determine the observed differences. 
Results: The graft uptake success rate in the endoscopic group was 83.3%, compared to 90% for the microscopic group. This was statistically insignificant, p>0.05. A similar hearing gain was seen in both groups. However, the endoscopic group had a slightly earlier recovery time and demonstrated less mean pain scores on 1st postoperative day, which is statistically significant, p<0.05. Minor postoperative complications like wound infection, graft failure were more frequent in the microscopic group. 
Conclusion: Endoscopic tympanoplasty may offer a promising alternative to the microscopic approach due to its association with quicker recovery and less postoperative discomfort with similar surgical outcome.