Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-23T23:30:44.362Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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