Transcanal endoscopic type 1 tympanoplasty in children: Cartilage butterfly and fascia temporalis graft

Bartel, Ricardo; Levorato, Maurizio; Adroher, M.; Cardelús, Sara; Díaz, Amelia; Lacima, J.; Vázquez, Claudio; Veneri, A.; Wienberg, Peter; Clavería, M.A.; Haag, Oliver

doi:10.1016/j.ijporl.2019.03.012

Cited by 20 publications

(10 citation statements)

References 12 publications

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“…10 Similar result was reported with 88% successful graph uptake after endoscopic underlay T1T done with temporalis graft. 28 However, Harugop et al reported 11.37 dB mean AB gap improvement but a lesser graft success rate of 82% after endoscopic myringoplasty done for medium to subtotal perforations. 11 Similar conclusion of 83% graft success rate was shown in a randomized control trial done by Lade et al 29 In a retrospective study done by Tseng et al among patients who underwent endoscopic transcanal repair of anterior perforation of TM, there was the overall success of 93% for the graft uptake and 10.3 dB mean AB gap improvement.…”

Section: Discussionmentioning

confidence: 97%

Comparative study of outcomes of type 1 tympanoplasty with and without anterior tucking

Thingujam

Poduval

2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Type-1 tympanoplasty is the functional restoration of the normal middle ear by repairing the tympanic membrane (TM). Different techniques are still evolving to devise a way to give optimal graft uptake and hearing improvement with minimal instrumentation. Various studies have been done to assess the role of anterior tucking in type-1 tympanoplasty and to assess its superiority over other methods in repairing subtotal perforations and large perforations involving the anterior quadrant.Methods: This study was done to compare the outcomes of endoscopic type-1 tympanoplasty with and without anterior tucking. 60 cases of chronic otitis media (COM) mucosal type were divided into 2 groups of 30 patients each. Group 1 underwent endoscopic type-1 tympanoplasty with anterior tucking and group 2 underwent endoscopic type-1 tympanoplasty without anterior tucking. The outcomes were evaluated after 6 months and compared in terms of graft uptake and hearing gain.Results: The mean air-bone gap improvement was 13.16±2.65 in group 1 and 12.90±3.78 in group 2, which had statistically insignificant differences indicating similar hearing outcomes in both the groups. 96.7% successful graft uptake was achieved in group 1 and 90% in group 2, showing statistically insignificant differences indicating similar graft uptake rates in both the groups.Conclusions: Anterior tucking with endoscopic type-1 tympanoplasty could provide good graft support and efficient hearing improvement but cannot be labelled as a mandatory step in repairing subtotal perforations or large perforations involving anterior quadrant as the outcomes are comparable to the endoscopic type-1 tympanoplasty done without anterior tucking.

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Section: Discussionmentioning

confidence: 97%

Comparative study of outcomes of type 1 tympanoplasty with and without anterior tucking

Thingujam

Poduval

2021

Int J Otorhinolaryngol Head Neck Surg

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“…Tympanic adhesion, therefore, is a great challenge for ear surgeons to some extent. [16][17][18][19] In this context, the hydrophobic and the anti-adhesion properties to the tissue of JMs-22 are becoming increasingly important. In this study, the Janus membrane was devised for TM perforation repair using the inner-transplant method.…”

Section: In Vivo Experiments and Histological Examinationmentioning

confidence: 99%

“…Therefore, it is of great significance to construct new materials with single-sided cell growth for tympanic membrane repair. 14–19…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is of great significance to construct new materials with singlesided cell growth for tympanic membrane repair. [14][15][16][17][18][19] Janus membranes have contrasting properties on two sides, which have potential in many applications such as water/oil separation, 20 desalination, 21 and emulsification. 22 This Janus property could also be used in tissue repair.…”

Section: Introductionmentioning

confidence: 99%

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Janus membranes with asymmetric cellular adhesion behaviors for regenerating eardrum perforation

Zhu

et al. 2022

J. Mater. Chem. B

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“…[4][5][6][7] Since its introduction in 1998, 8 butterfly cartilage tympanoplasty (BCT) has been a popular technique to repair TM perforations. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The name ''butterfly'' originated from the cartilage graft which is shaped like butterfly wings prior to insertion into the TM to close the perforations, much like an ear tube. 8 Though this technique is simple, practical, and effective, there is a lack of higher-level evidence investigating the efficacy of BCT in the literature.…”

Section: Introductionmentioning

confidence: 99%

Butterfly Cartilage Tympanoplasty as an Alternative to Conventional Surgery for Tympanic Membrane Perforations: A Systematic Review and Meta-Analysis

2021

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Objective: To compare the effectiveness of butterfly cartilage tympanoplasty (BCT) with that of conventional surgical approaches in the treatment of tympanic membrane perforations. Methods: A systematic search was performed by screening the PubMed, Embase, and Cochrane Library databases up to October 31, 2020. Two coauthors independently identified studies in accordance with the selection criteria. Data were pooled and analyzed via Review Manager version 5.3 and Stata version 12.0 software. The postoperative outcomes were measured and expressed as odds ratios (ORs) and standardized mean differences (SMDs). Additionally, heterogeneity was assessed through the I2 statistic. Results: A total of 15 articles were eligible for final inclusion. The OR values for the graft uptake rate, compared to conventional tympanoplasty, were 1.12 (95%CI: 0.56-2.22, I2 = 52%, P = .75) and 1.22 (95%CI: 0.58-2.59, I2 = 0%, P = .60), and the OR compared to fat plug myringoplasty was 3.02 (95%CI: 1.04-8.77, I2 = 0%, P = .04). The qualitative analysis of the hearing results reflected significant postoperative auditory gains with no significant differences between the BCT and control groups, indicating satisfactory and similar postoperative hearing improvement. Moreover, the operation time was shortened (SMD = −2.19, 95%CI: −2.79 to −1.59, I2 = 82%, P < .05), and the postoperative pain was less with the BCT approach. Conclusion: Butterfly cartilage tympanoplasty has satisfactory efficacy in terms of anatomical and functional results in small to medium perforations. It reduces operation time and postoperative pain. However, the effectiveness on large perforation requires further assessment by well-designed studies.

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Transcanal endoscopic type 1 tympanoplasty in children: Cartilage butterfly and fascia temporalis graft

Cited by 20 publications

References 12 publications

Comparative study of outcomes of type 1 tympanoplasty with and without anterior tucking

Comparative study of outcomes of type 1 tympanoplasty with and without anterior tucking

Janus membranes with asymmetric cellular adhesion behaviors for regenerating eardrum perforation

Butterfly Cartilage Tympanoplasty as an Alternative to Conventional Surgery for Tympanic Membrane Perforations: A Systematic Review and Meta-Analysis

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