The Outcome of Endoscopic Assisted Underlay Tragal Cartilage Myringoplasty


  • Hameed Dikhil Hussein
  • Rahman Agab Aljanabi
  • Sajad Youns Fadhil
  • Ula Fadhil Alabdali



Endoscope, cartilage, Myringoplasty.


Background: The use of Endoscope is increasing for otologic surgery because it is providing anew
perspective on the intricate anatomy of the middle ear.
Study Design: Cross sectional study.
Objective Evaluation of outcomes of endoscopic aidedtranscanal underlay tragal cartilegeMyringoplasty.
Patients and Method: This were aprospective clinical study included Fifteen patients who were operated
on for chronic otitis media (COM) and their data and findings. All operations and surgical procedures were
performed only with the use of a tragal cartilage graft, lining, and total transcanal endoscopic access. We
assessed the postoperative graft up-taking rate and assessed hearing at 6-8 weeks.
Results and Discussion: Out of the 15 patients (9 female and 6 male) the graft take rate was 86% and the
comparison of pre and postoperative mean AB gap revealed that the mean AB gap was 31 dB preoperatively
while it changed (improved) to 16 dB at 6 to 8 weeks postoperatively, with a statistically significant difference
Conclusions: Endoscopic Myringoplastyis minimally invasive, effective and safe procedure with good
success rate and short duration.

Author Biographies

Hameed Dikhil Hussein, CABS (ORL-HNS), Instructor in Jabir Ibn Hayyan Medical University/College of Medicine, Iraq/Najaf

Rahman Agab Aljanabi, CABS, FEB(ORL-HNS), Instructor in Ibn Sina University of Medical and Pharmaceutical Sciences,
Iraq, Baghdad

Sajad Youns Fadhil

Consultant, DLO.F.I.C.M. S (ORL-HNS), MD-CABS (ORL-HNS), at Al-Sadr Medical City in

Ula Fadhil Alabdali

M.B.Ch. B, Resident Doctor at Al-Sadr Medical City in Najaf




How to Cite

Hameed Dikhil Hussein, Rahman Agab Aljanabi, Sajad Youns Fadhil, & Ula Fadhil Alabdali. (2021). The Outcome of Endoscopic Assisted Underlay Tragal Cartilage Myringoplasty. Medico Legal Update, 21(2), 276–283.