Endoscopic cartilage butterfly myringoplasty in children

Akyiğit, Abdulvahap; Karlıdağ, Turgut; Keleş, Erol; Kaygusuz, İrfan; Yalçin, Süleyman; Polat, Cahit; Eroğlu, Orkun

doi:10.1016/j.anl.2016.05.005

Cited by 40 publications

(22 citation statements)

References 15 publications

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“…The number of subjects collected for meta‐analysis was 1004, including 513 patients belonging to EES and 491 patients under MES, and the included studies were published between 2015 and 2017. Nineteen studies were analyzed qualitatively, which were all case series studies, except for one retrospective cohort study (Table ) . The included studies were published between 1995 and 2017, and a total of 406 patients were evaluated.…”

Section: Resultsmentioning

confidence: 99%

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Comparison of endoscopic and microscopic ear surgery in pediatric patients: A meta‐analysis

et al. 2018

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Objectives Recently, the endoscope has been increasingly introduced for middle‐ear surgery. To evaluate the postoperative outcomes of endoscopic ear surgery (EES) in pediatric patients, we did a qualitative analysis with a systematic review and quantitative analysis with meta‐analysis of available literature. Methods Studies reporting the comparative surgical outcomes of EES in pediatric patients were systematically reviewed by searching the MEDLINE, PubMed, and Embase databases from database inception through 2017. The selected articles included clinical studies conducted with at least 30 subjects and at least one postoperative parameter, including residual or recurrent cholesteatoma and graft success in tympanoplasty. Two investigators independently reviewed all studies and extracted the data using a standardized form. A meta‐analysis was performed using a random‐effects model and qualitative review was performed on the smaller studies. Results Ten studies were identified as appropriate for quantitative meta‐analysis and 19 studies for qualitative analysis. In the meta‐analysis, residual or recurrence rate of cholesteatoma was significantly lower in the EES group than in the microscopic ear surgery (MES) group (odds ratio [OR]: 0.56, 95% confidence interval [CI]: 0.38‐0.84, P = .005). The graft success rate of tympanoplasty was not statistically different between EES and MES groups (OR: 0.72, 95% CI: 0.41‐1.26, P = .249). In the qualitative analysis, most of the studies reported similar audiological outcomes after tympanoplasty and success rate of cholesteatoma removal between the two groups. Conclusions It appears that EES reduces the risk of residual cholesteatoma in children and that the success of perforation closure is equivalent to MES. Laryngoscope, 129:1444–1452, 2019

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Section: Resultsmentioning

confidence: 99%

“…In these studies, the size and location of tympanic membrane perforation affected the graft‐failure rate. One study considered perforation diameter >3 mm as a cutoff point for tympanic membrane perforation . Another study considered a perforation >50% of tympanic membrane as the cutoff .…”

Section: Resultsmentioning

confidence: 99%

Comparison of endoscopic and microscopic ear surgery in pediatric patients: A meta‐analysis

et al. 2018

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“…This time is also significantly lesser than mean time reported for butterfly cartilage myringoplasty. 2,11 The duration of graft epithelialization was significantly lesser in the new technique than in conventional TFG myringoplasty. This may be related to the effect of TCA in promoting the process of healing.…”

Section: Discussionmentioning

confidence: 95%

Button graft and trichloroacetic acid for repair of small and medium-sized ear drum perforations

Aref¹,

Ahmed²

2019

Egyptian Journal of Neck Surgery and Otorhinolaryngology

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Introduction: Several techniques have been used for repairing tympanic membrane perforations starting from chemical cauterization of the edges of the perforation to the use of autologous graft materials such as temporalis muscle fascia, perichondrium and cartilage. Aim: To present our approach of combined use of cartilage perichondrium graft (button graft) and chemical cauterization with trichloroacetic acid (TCA) for repair small and medium sized perforations. Materials and Methods: In this study 80 patients with small and medium sized TM perforations included and divided into two groups. In the study group button graft (BG) combined with TCA cauterization was performed while conventional temporalis fascia graft (TFG) underlay myringoplasty was used in the control group. We compared the operative time, time needed for resuming usual physical activity, time needed for graft epithelialization and postoperative anatomical and functional restoration. Results: Mean operative time was 13.70±2.30 minutes in BG with TCA group and 42.40±6.45 minutes in TFG group (P value <0.001). Time needed for complete epithelization of the graft was (12.00±1.50 days) in BG with TCA approach and (21.40±2.20 days) in TFG myringoplasty (P value <0.001). There was no significant difference between both techniques as regard anatomical and functional restoration . Conclusion: Combined use of cartilage perichondrium graft and chemical cauterization with TCA is an effective technique which decreases operative time, allow for rapid postoperative healing with comparable anatomical and functional results.

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“…In the vast majority of our cases, we had no problems with graft stabilisation in the butterfly-inlay technique with 1 mm circumferential groove depth on the cartilage graft. Furthermore, Kim et al 1 and Akyigit et al 2 performed butterfly-inlay cartilage tympanoplasty by creating circumferential grooves on the cartilage graft of 1 mm and 0.5-1 mm depth, respectively, and both authors reported comparable functional and anatomical outcomes in their articles.…”

Section: Dear Editorsmentioning

confidence: 99%

“…1 However, the reported groove depth is 2 mm in most studies. [2][3][4][5] The limited depth and asymmetry of the groove increase the risk of graft failure. Another consideration is cholesteatoma or epithelial pearl formation.…”

mentioning

confidence: 99%

The comparison of endoscopic butterfly-inlay and push-through myringoplasty

Lou¹

2020

J. Laryngol. Otol.

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Endoscopic cartilage butterfly myringoplasty in children

Cited by 40 publications

References 15 publications

Comparison of endoscopic and microscopic ear surgery in pediatric patients: A meta‐analysis

Comparison of endoscopic and microscopic ear surgery in pediatric patients: A meta‐analysis

Button graft and trichloroacetic acid for repair of small and medium-sized ear drum perforations

The comparison of endoscopic butterfly-inlay and push-through myringoplasty

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