Anatomical and functional long-term results of endoscopic butterfly inlay myringoplasty

Karabulut, Burak; Mutlu, Fatih Mehmet; Sahin, Samil; Cırık, Ahmet Adnan

doi:10.1007/s00405-018-5120-3

Cited by 12 publications

(6 citation statements)

References 11 publications

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“…Darouassi et al [2] and Zhang et al [4] reported that the subtotal perforation was the most frequent representing --respectively --47% and 32.8%. Shoman [3] and Karabulut et al [5] highlighted that the anterior perforation was the most common, being respectively 40% and 35.7%, which goes in line with our study.…”

Section: Discussionsupporting

confidence: 93%

“…However, the mean age of the patients --in our series --ranges from 16 to 54, with an average of 35 years. The gender distribution was variable in the literature, even though in the majority of the series, there was a female predominance [2][3][4][5]. Altuna et al [6] revealed some pathological backgrounds in 99 cases: 52 of them had already undergone a former surgery (49 cases of myringoplasty and three cases of grommet insertion).…”

Section: Discussionmentioning

confidence: 99%

“…In our study, the used graft was the conchal cartilage for 88% of cases, and the tragal cartilage for the other 12%. The majority of the literature’s cases reported that the most used cartilage is the tragus for 100% of the patients [ 3 - 5 ]. The rate of anatomical success of our patients was 92%, which is comparable to the rates cited in the literature for cartilaginous myringoplasty: 93% in the study of Yurttas et al [ 7 ], 92.3% in the study of Onal et al [ 8 ], and 90.7% in Elboukhari [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Cartilaginous Myringoplasty: Anatomical and Functional Results

Taleuan¹,

Ridal²,

Elatiq³

et al. 2023

Cureus

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Introduction: Myringoplasty remains a topical subject. Our study aims at analyzing the anatomical and functional results of cartilaginous myringoplasty, and also determining the main factors that could influence its results.Materials and methods: A retrospective study of 51 cases of tympanic perforations operated at the ENT department of the Hassan II University Hospital of Fez between January 2018 and November 2021. Only the patients with exclusive cartilage myringoplasty were included. The anatomical and functional results of cartilage myringoplasty were evaluated and analyzed according to several variables. The statistical analysis was performed using SPSS Statistics software.Results: The average age of our patients was 35, with a sex ratio of 2.45. The perforation was anterior in 58%, posterior in 12%, and central in 30% of the cases. The average pre-operative audiometric air bone gap (ABG) was 29.3 dB. The most commonly used graft was the conchal cartilage in 89% of cases. A complete cicatrization has been noticed in 92%, and at six months after surgery, a complete closure of the ABG has been observed in 43% of cases, a significant hearing improvement with an ABG between 11 and 20 dB in 24%, a hearing recovery with an ABG between 21 and 30 dB in 21%, and an ABG > 30 dB in 12% of the cases. A statically significant relationship (p<0.05) has been found between the functional or anatomical failure of the myringoplasty; the different predictive factors were: the young age (less than 16 years), the inflammatory state of the tympanic cavity, the anterior location, and large size of the perforation. Conclusion:Cartilaginous myringoplasty provides good anatomical and auditory results. The pre-operative predictive factors, such as age, complete and sufficient drying of the ear, the size and location of the perforation, and the size of the used cartilage, should all be considered for a better anatomical and functional outcome.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cartilaginous Myringoplasty: Anatomical and Functional Results

Taleuan¹,

Ridal²,

Elatiq³

et al. 2023

Cureus

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“…Successful closure was achieved in 95.5% with statistically significant air-bone-gap improvement of 8.5 dB as an alternative minimally invasive surgical technique for small anterior perforations. Karabulut et al (2018) evaluated the long-term anatomical and functional results of endoscopic butterfly myringoplasty and reported a GIR of 98.2% after 1 year and 94.6% after 2 years 37 . Audiometric measurements revealed significantly improved hearing threshold and air-bone-gap at 6, 12 and 24 months compared to the preoperative results.…”

Section: Butterfly Myringoplastymentioning

confidence: 99%

Minimally invasive tympanoplasty: review of outcomes and technical refinements

Beckmann

Anschuetz

2021

Operative Techniques in Otolaryngology-Head and Neck Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“… 24. Karabulut et al showed that the mean preoperative ABG was 24.2 ± 3.8 dB, the mean ABG on the 12th postoperative month was 17.1 ± 3.5 dB, and the mean ABG on the 24th postoperative month was 12.4 ± 3.1 dB 25. .…”

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confidence: 99%

Outcomes of Endoscopic Myringoplasty

et al. 2022

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Introduction: The endoscope has diagnostic and therapeutic role in different otological surgeries. It has excellent view of images where there are difficult nooks and corners. The use of tragal cartilage in the repair of tympanic membrane perforation has its own benefit in graft uptake and hearing results whether long term or short term. The main purpose of the present study was to evaluate the long‑term hearing results in patients who underwent endoscopic sandwich myringoplasty with National Medical college & Teaching Hospital, Birgunj. Objective: To evaluate the graft success rate and postoperative hearing gain for central perforations using endoscopic myringoplasty Materials and Methods: This study is a prospective study in 60 patients with central perforations who underwent endoscopic myringoplasty using tragal cartilage. The hearing was assessed by comparing pre‑. with post‑operative air‑bone gap (ABG) and ABG closure in speech frequencies (0.5 kHz, 1 kHz, 2 kHz, and 4 KHz). Results: Of the 60 patients with central perforation included in this study, the graft success rate was 95% (57/60). The graft uptake in 6 months of follow‑up. The postoperative ABG (13.77 ± 4.94dB) was lesser than preoperative ABG (22.38 ± 6.93 dB) with statistically significant results. Conclusion: Endoscopic myringoplasty is a safe procedure with high‑graft uptake rate and good long‑term hearing results.

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Anatomical and functional long-term results of endoscopic butterfly inlay myringoplasty

Abstract: We suggested that endoscopic butterfly inlay myringoplasty is a safe surgical method with high graft success and effective hearing reconstruction. Follow-up is necessary for at least 2 years for precise anatomical and functional evaluation of the surgery.

Cited by 12 publications

References 11 publications

Cartilaginous Myringoplasty: Anatomical and Functional Results

Cartilaginous Myringoplasty: Anatomical and Functional Results

Minimally invasive tympanoplasty: review of outcomes and technical refinements

Outcomes of Endoscopic Myringoplasty

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