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Comparison of endoscopic butterfly-inlay versus endoscopic push-through myringoplasty in repairing anterior perforations of the tympanic membrane

Published online by Cambridge University Press:  22 January 2020

S Gülşen
Affiliation:
Department of Otorhinolaryngology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
B Erden*
Affiliation:
Department of Otorhinolaryngology, Mersin City Training and Research Hospital, Turkey
*
Author for correspondence: Dr Burak Erden, Department of Otorhinolaryngology, Mersin City Training and Research Hospital, Street 96015, Toroslar, Mersin33240, Turkey E-mail: [email protected]

Abstract

Objective

The aim of the present study was to evaluate the surgical and functional results of endoscopic butterfly-inlay cartilage myringoplasty and endoscopic push-through myringoplasty in the treatment of anterior perforation of the tympanic membrane.

Method

This open-label randomised clinical study was conducted on 71 patients with small- and medium-sized anterior perforations of the tympanic membrane. Graft success rate, hearing results, operative time and complications were analysed.

Results

Graft success rates for endoscopic butterfly-inlay cartilage myringoplasty and endoscopic push-through myringoplasty were 94.1 and 91.8 per cent, respectively (p > 0.05). Post-operative air–bone gap values significantly improved in both the endoscopic butterfly-inlay cartilage myringoplasty and endoscopic push-through myringoplasty groups. The average operative time was significantly shorter in the endoscopic butterfly-inlay cartilage myringoplasty group (31.5 minutes) compared to the endoscopic push-through myringoplasty group (41.7 minutes; p < 0.05).

Conclusion

When compared with the endoscopic push-through myringoplasty, the endoscopic butterfly-inlay cartilage myringoplasty technique, which is technically easier to perform, does not require packing and has a shorter operating time. It is a reasonable approach for repair of anterior perforations of the tympanic membrane.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr B Erden takes responsibility for the integrity of the content of the paper

References

Eren, SB, Tugrul, S, Ozucer, B, Veyseller, B, Aksoy, F, Ozturan, O. Endoscopic transcanal inlay myringoplasty: alternative approach for anterior perforations. Otolaryngol Head Neck Surg 2015;153:891–310.1177/0194599815599969CrossRefGoogle ScholarPubMed
Malhotra, M, Varshney, S, Malhotra, R, Joshi, P. Indian perspectives on graft materials used for repair of tympanic membrane. J Clin Diagn Res 2017;11:16Google ScholarPubMed
Peng, R, Lalwani, AK. Efficacy of “hammock” tympanoplasty in the treatment of anterior perforations. Laryngoscope 2013;123:1236–4010.1002/lary.23747CrossRefGoogle ScholarPubMed
Celik, H, Samim, E, Oztuna, D. Endoscopic “push-trough” technique cartilage myringoplasty in anterior tympanic membrane perforations. Clin Exp Otorhinolaryngol 2015;8:224–910.3342/ceo.2015.8.3.224CrossRefGoogle ScholarPubMed
Jako, GJ. Postaural versus endaural exposure in tympanoplasty. Laryngoscope 1967;77:2022–3110.1288/00005537-196711000-00007CrossRefGoogle ScholarPubMed
Tarabichi, M, Nogueira, JF, Marchioni, D, Presutti, L, Pothier, DD, Ayache, S. Transcanal endoscopic management of cholesteatoma. Otolaryngol Clin North Am 2013;46:107–3010.1016/j.otc.2012.10.001CrossRefGoogle ScholarPubMed
Eavey, RD. Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope 1998;108:657–6110.1097/00005537-199805000-00006CrossRefGoogle ScholarPubMed
El-Hennawi, DEM, Ahmed, MR, Abou-Halawa, AS, Al-Hamtary, MA. Endoscopic push-through technique compared to microscopic underlay myringoplasty in anterior tympanic membrane perforations. J Laryngol Otol 2018;132:509–13CrossRefGoogle ScholarPubMed
Özgür, A, Dursun, E, Erdıvanlı, ÖÇ, Coskun, , Terzı, S, Emıroglu, G et al. Endoscopic cartilage tympanoplasty in chronic otitis media. J Laryngol Otol 2015;129:1073–7CrossRefGoogle ScholarPubMed
Iannella, G, Magliulo, G. Endoscopic versus microscopic approach in stapes surgery: are operative times and learning curve important for making the choice? Otol Neurotol 2016;37:1350–710.1097/MAO.0000000000001186CrossRefGoogle ScholarPubMed
Jalali, MM, Motasaddi, M, Kouhi, A, Dabiri, S, Soleimani, R. Comparison of cartilage with temporalis fascia tympanoplasty: a meta-analysis of comparative studies. Laryngoscope 2017;127:2139–4810.1002/lary.26451CrossRefGoogle ScholarPubMed
Demirhan, H, Yiğit, Ö, Hamit, B, Çakır, M. Endoscopic triple-C tympanoplasty: an alternative approach to anteriorly located tympanic membrane repair. J Laryngol Otol 2018;132:1007–910.1017/S0022215118001937CrossRefGoogle ScholarPubMed
Tseng, CC, Lai, MT, Wu, CC, Yuan, SP, Ding, YF. Endoscopic transcanal myringoplasty for tympanic perforations: an outpatient minimally invasive procedure. Auris Nasus Larynx 2018;45:433–9CrossRefGoogle ScholarPubMed
Loh, TL, Ranguis, S, Patel, H, Crossland, G. Permeatal ‘push through’ myringoplasty in the Northern Territory: a prospective cohort. Aust J Otolaryngol 2018;1:22CrossRefGoogle Scholar
Kim, MB, Park, JA, Suh, MJ, Song, CI. Comparison of clinical outcomes between butterfly inlay cartilage tympanoplasty and conventional underlay cartilage tympanoplasty. Auris Nasus Larynx 2019;46:167–71CrossRefGoogle ScholarPubMed
Özgür, E, Dursun, E, Terzi, S, Erdivanlı, ÖÇ, Coşkun, , Oğurlu, M et al. Endoscopic butterfly cartilage myringoplasty. Acta Otolaryngol 2016;136:144–8CrossRefGoogle ScholarPubMed
Mouna, B, Khalifa, M, Ghammem, M, Limam, M, Meherzi, A, Kermani, W et al. Cartilage and fascia graft in type 1 tympanoplasty: comparison of anatomical and audiological results. J Craniofac Surg 2019;30:297300CrossRefGoogle Scholar
Akyigit, A, Karlidag, T, Keles, E, Kaygusuz, I, Yalcın, S, Polat, C et al. Endoscopic cartilage butterfly myringoplasty in children. Auris Nasus Larynx 2017;44:152–5CrossRefGoogle ScholarPubMed
Ahmed, S, Raza, N, Ullah, S, Shabbir, A. Chondroperichondrial clip myringoplasty: a new technique for closure of tympanic membrane perforations. J Laryngol Otol 2013;127:562–7CrossRefGoogle ScholarPubMed
Hod, R, Buda, I, Hazan, A, Nageris, BI. Inlay “butterfly” cartilage tympanoplasty. Am J Otolaryngol 2013;34:41–3CrossRefGoogle ScholarPubMed