Endoscopic trans-canal myringoplasty: Relevance for sub-Saharan Africa? A systematic review

  • Wakisa Mulwafu
  • David Strachan
  • Emmanuel Singano
  • Anil Banerjee
  • Kerry Haddow
  • Chris Raine
Keywords: endoscopic, trans-canal, myringoplasty, sub-Saharan Africa


Background: We systematically reviewed the literature on endoscopic trans-canal myringoplasty with regard to graft take-up rates with mean air-bone gaps.

Methods: All identified English-language articles from Medline and Embase reporting on endoscopic trans-canal myringoplasty were eligible. Both pediatric and adult patients were included. No limitation was placed on study design or level of evidence. We extracted data regarding study country, mean patient age, mean air–bone gap, type of anesthesia used, endoscope used, duration of follow-up, and graft take rate.

Results: Twenty-one articles were included in the review. The overall graft closure was 88.3%. Sixteen studies provided the air bone gap gain. The mean air bone gap gain was 9.8.

Conclusions: Endoscopic trans-canal myringoplasty leads to high graft take-up rates with low mean air-bone gaps. The technique has not been reported in Sub-Saharan Africa but has a potential to play a significant role in surgical management of CSOM in this region.

Keywords: endoscopic, trans-canal, myringoplasty, sub-Saharan Africa

Review Article