Butterfly myringoplasty for total, subtotal, and annular perforations

Hazan, Alain; Esmat, Najjar; Hilly, Ohad; Vaisbuch, Yona; Nageris, Ben I.

doi:10.1002/lary.25904

Cited by 60 publications

(52 citation statements)

References 13 publications

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“…Butterfly cartilage tympanoplasty is a technique with high success rates. Several other studies have also reported similar rates [ 1 , 7 - 10 ]. Bhattacharya et al [ 9 ] reported 93.3% success rate, whereas Mauri et al [ 10 ] reported 88.2% success rate.…”

Section: Discussionsupporting

confidence: 69%

Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations

Kaya

Benzer

Uslu

et al. 2018

Clin Exp Otorhinolaryngol

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Objectives The aim of this study was to evaluate and report the long-term results of the butterfly cartilage tympanoplasty. Short-term and long-term hearing outcomes were compared according to age and perforation location as well.Methods Ninety-three patients who were diagnosed with noncomplicated chronic otitis media and underwent microscopic transcanal butterfly cartilage tympanoplasty due to anterior, posterior, and central tympanic membrane perforation were included. Age, gender, follow-up time, pre- and postoperative pure tone audiometry thresholds (both air and bone conduction), pre- and postoperative air-bone gaps (ABGs), if any residual perforation was noted.Results At the end of the follow-up period, successful closure occurred in 88 of 93 patients and success rate is 94.6%. In all patients, including those with residual perforations, the mean preoperative bone conduction threshold was 15.9 dB (range, 5 to 50 dB) among all groups whereas mean air conduction threshold was 36.4±15.1 dB (range, 10 to 90 dB) preoperatively and 28.8±14.3 dB in 6th month follow-up and 24.9±14.1 dB 24th month follow-up. Preoperative mean ABG was 22.1±7.1 dB (range, 5 to 40 dB) whereas 13.3±5.9 dB 6 months after surgery and 11.9±5.5 dB 24 months after surgery. There was a significant difference between pre- and postoperative ABG in both 6th and 24th month follow-up (P6 mo-24 mo<0.05). Furthermore, preoperative mean air conduction differed significantly from postoperative 6th and 24th month follow-up mean air conduction thresholds (P<0.05).Conclusion We suggested that butterfly cartilage tympanoplasty can be safely performed in small, moderate, and even large perforations, as the hearing outcomes and successful closure rate are similar to those of other surgical methods. Moreover, it can be performed under local anaesthesia and it has low complication rates.

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Section: Discussionsupporting

confidence: 69%

Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations

Kaya

Benzer

Uslu

et al. 2018

Clin Exp Otorhinolaryngol

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“…While originally advocated for small to medium-sized central perforations, indications for the inlay technique have expanded to include marginal and subtotal perforations. 11 Higher failure rates in these situations led Eavey et al to modify their technique to include custom contouring and the addition of a split thickness skin graft lateral to the cartilage-perichondrial graft. 12 The recent addition of endoscopic visualization has expanded the potential patient population to include children under the age of 5 years and those with prominent anterior canal bulges, who were not candidates for transcanal microscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Isaacson

Harounian

2017

World j. otorhinolaryngol.-head neck surg.

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ObjectivesTo evaluate the success of pediatric endoscopic and endoscopically assisted transcanal cartilage inlay tympanoplasty.MethodsRetrospective review of single surgeon experience.ResultsDuring a 3 year period, 30 children underwent 31 endoscopic or endoscopically assisted transcanal tympanoplasties by the senior surgeon using tragal cartilage/perichondrial inlay grafts. There were 22 boys and 8 girls, ranging in age from 3.5 to 17 years (median 6 years). All tragal cartilage grafts (31/31; 100%) survived. Twenty-seven surgeries (27/31; 82%) resulted in an intact drum (17/31; 55%) or a microperforation (10/31; 32%). In four cases (4/31; 13%) significant perforations formed in previously unaffected portions of the drum.ConclusionTranscanal endoscopic cartilage inlay tympanoplasty offers a practical, minimally invasive approach to tympanoplasty for children of any age. It avoids postauricular or endaural incisions, tympanomeatal flap elevation, and canalplasty. Graft survival is uniform. Microperforation at the graft margins remained in 1/3 of children. Technical modifications may lead to higher rates of tympanic closure.

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“…TFE is technically difficult to integrally detach the tympanomeatal flap and form the tunnel because of the bleeding skin of the external auditory canal (EAC) and one-handed operation in endoscopic technique. Although butterfly cartilage myringoplasty does not require TFE for most TM Perforations, medial canal wall skin should be elevated to expose the bony annulus for large marginal perforations [15,16]. This study explored endoscopic cartilage myringoplasty with the removal of a small rim of the EAC to repair marginal perforations.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations

Lou¹

2020

Journal of Otolaryngology - Head & Neck Surgery

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Objective: To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal (EAC). Study design: Prospective case series. Materials and methods: We performed a prospective study in 41 patients with marginal perforations who underwent endoscopic cartilage myringoplasty with the removal of a small rim of EAC. Patients were followed up for 6 months. Results: Of the 41 patients with unilateral marginal perforation included in this study, the graft success rate was 100% (41/41). The mean ABG improved from 11.31 ± 9.71 dB preoperatively to 7.31 ± 2.32 dB postoperatively for small-and medium-sized perforations (P = 0.13); the mean ABG improved from 21.46 ± 8.39 dB preoperatively to 9.84 ± 2.41 dB postoperatively for large perforations (P < 0.05); the mean ABG improved from 28.79 ± 6.74 dB preoperatively to 10.13 ± 3.56 dB postoperatively for subtotal and total perforations (P < 0.05). There were no cases of graft lateralization or significant blunting or atelectasis or graft adhesions. Three patients developed postoperative otorrhoea and five patients had mild myringitis. Conclusions: Endoscopic cartilage myringoplasty with the removal of a small rim of the EAC is simple and feasible, showing a high graft success rate and minimal complications for repairing marginal perforations.

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Butterfly myringoplasty for total, subtotal, and annular perforations

Abstract: 4. Laryngoscope, 126:2565-2568, 2016.

Cited by 60 publications

References 13 publications

Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations

Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations

Results of pediatric endoscopic and endoscopically assisted tympanoplasty

Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations

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