Since the 1950s, microscopic myringoplasty has been the standard surgery for repairing a perforat... more Since the 1950s, microscopic myringoplasty has been the standard surgery for repairing a perforated tympanic membrane [1-5]. This surgery can be performed using three (postauricular, endaural, and transcanal) approaches. A postauricular incision provides increased visibility of the operative site, whereas the transcanal approach is reserved for patients with small tympanic Auris Nasus Larynx xxx (2017) xxx-xxx
Comparison of the efficacy of endoscopic tympanoplasty and microscopic tympanoplasty: A systematic review and meta-analysis
The Laryngoscope, 2016
Microscopic tympanoplasty has been the standard surgery for repairing perforated tympanic membran... more Microscopic tympanoplasty has been the standard surgery for repairing perforated tympanic membranes since the 1950s, but endoscopic tympanoplasty has been increasingly practiced since the late 1990s. In this study, we compared the efficacies of endoscopic and microscopic tympanoplasty.
Microscopic transtympanic myringoplasty was first proposed by Shea in 1960 [1]. Subsequently, Aus... more Microscopic transtympanic myringoplasty was first proposed by Shea in 1960 [1]. Subsequently, Austin and Shea [2] developed tympanoplasty from myringoplasty by incorporating the tympanomeatal flap. The graft take rate of tympanoplasty using the tympanomeatal flap elevation technique has been found to be higher than that of transtympanic myringoplasty [3-5]. This is because the surgical view in the transtympanic approach is more limited than that in the postauricular approach that employs tympanomeatal flap elevation. Tympanoplasty that applies the postauricular approach has been practiced worldwide for decades [3-5]. Although transcanal simple myringoplasty with fibrin glue is a very common technique in some countries (e.g., Japan) [6], this technique is not performed worldwide [7,8]. Although it is effective, the tympanomeatal flap elevation technique has several disadvantages. First, the elevated flap is vulnerable to suction or drilling. To protect the flap, surgeons Auris Nasus Larynx xxx (2017) xxx-xxx
Background: Health care systems and physicians need to conform to budgets and streamline resource... more Background: Health care systems and physicians need to conform to budgets and streamline resources to provide cost-effective quality care. Although endoscopic tympanoplasty (ET) has been performed for decades, no studies on the cost-effectiveness of ET and microscopic tympanoplasty (MT) for treating chronic otitis media have been published. The present study aimed to compare the cost-effectiveness of ET and MT for treating chronic otitis media. Methods: This study was performed using a Cohort-style Markov decision-tree economic model with a 30-year time horizon. The economic perspective was that of a third-party payer (Taiwan National Health Insurance System). Two treatment strategies were compared, namely ET and MT. The primary outcome was the incremental cost per quality-adjusted life year (QALY). Probabilities were obtained from meta-analyses. Costs were obtained from the published literature and Taiwan National Health Insurance System database. Multiple sensitivity analyses were performed to account for data uncertainty.
Objectives: Microscopic tympanoplasty has been the standard surgery for repairing perforated tymp... more Objectives: Microscopic tympanoplasty has been the standard surgery for repairing perforated tympanic membranes since the 1950s, but endoscopic tympanoplasty has been increasingly practiced since the late 1990s. In this study, we compared the efficacies of endoscopic and microscopic tympanoplasty.
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Papers by 子杰 曾