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Issue: No. 101 (2026)
Section: Article
DOI: 10.58490/ctjump.2026i101.4763
Date Published: 20/08/2026
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Truong, V. H., Nguyen, T. V., Pham, T. T., & Ho, L. H. N. (2026). EVALUATING OF THE RESULTS OF ENDOSCOPIC TYMPANOPLASTY WITH PERICHONDRIUM AND SLIDING TYMPANOMEATAL FLAP ON PATIENT WITH CHRONIC OTITIS MEDIA HAVING LARGE TYMPANIC PERFORATION NEAR THE MARGIN AT CAN THO EAR NOSE THROAT HOSPITAL AND CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2025-2026. Cantho Journal of Medicine and Pharmacy, 101, 305-311. https://doi.org/10.58490/ctjump.2026i101.4763

EVALUATING OF THE RESULTS OF ENDOSCOPIC TYMPANOPLASTY WITH PERICHONDRIUM AND SLIDING TYMPANOMEATAL FLAP ON PATIENT WITH CHRONIC OTITIS MEDIA HAVING LARGE TYMPANIC PERFORATION NEAR THE MARGIN AT CAN THO EAR NOSE THROAT HOSPITAL AND CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2025-2026

Vinh Hien Truong1, , Thanh Van Nguyen2, Thanh The Pham1, Le Hoai Nhan Ho3
1 Can Tho University of Medicine and Pharmacy
2 Can Tho General Hospital
3 Can Thơ Ear Nose Throat Hospital

Main Article Content

Abstract

Background: In otitis media with large tympanic perforation near the margin, tympanoplasty is difficult because the graft is not securely attached, posing a risk of graft displacement. Large perforations also prolong the healing time of the tympanic membrane. Therefore, we will use the technique of sliding tympanomeatal flap to increase the contact area between the remaining part of the tympanic membrane and the graft while simultaneously reducing the perforation area. Objectives: To describe the clinical and paraclinical characteristics and evaluate the results of endoscopic tympanoplasty surgery with perichondrium and sliding tympanomeatal flap on patient with chronic otitis media having large tympanic perforation near the margin. Materials and methods:  A descriptive cross-sectional study was conducted on 34 patients diagnosed with stable chronic otitis media having large tympanic perforation near the margin at Can Tho Ear Nose Throat Hospital and Can Tho University Medical Center Hospital from May 2025 to April 2026. Results: The average age of the study subjects was 47.12 ± 7.65. The disease was more common in females (79.41%). Common preoperative symptoms included ear discharge (88.23%), hearing loss (82.35%), and tinnitus (64.71%). Most of the tympanic membrane was in a stable state without inflammation. Pure-tone audiograms showed mixed type hearing loss (64.71%). The rate of tympanic membrane healing after 1 month was 91.17% and after 3 months was 94.12%. The average hearing improvement after 3 months was 40.19 ± 9.05 dB. Good treatment outcomes after 3 months were observed in 91.17% of cases. Conclusion: The results of endoscopic tympanoplasty with perichondrium and sliding tympanomeatal flap were rated as good in terms of anatomy and function in 91.17% of cases. 

Keywords

Chronic otitis media, large tympanic perforation near the margin, endoscopic tympanoplasty with perichondrium and sliding tympanomeatal flap

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