Inlay butterfly cartilage tympanoplasty for large central perforations

Year 2017, Volume: 3 Issue: 3, 259 - 263, 04.11.2017

Mehmet Karatas Sedat Dogan

https://doi.org/10.18621/eurj.273835

Abstract

Objective. The aim of this study is to evaluate the results of
inlay butterfly tympanoplasty technique in large central tympanic membrane
perforations. Methods. The files of the patients who underwent inlay
butterfly cartilage tympanoplasty for large central tympanic membrane
perforations were reviewed. Patients were followed with otoscopy and
audiometry. Preoperative and postoperative pure-tone audiometry results were
calculated and analyzed to evaluate the hearing gain. The grafting procedure
was considered successful if no perforations were observed during postoperative
microscopic or endoscopic evaluation during the follow-up period. Results.
Twenty-nine patients with large central tympanic membrane perforation who
were operated by inlay butterfly tympanoplasty technique were included in the
study. Twenty-one (72.4%) ears were operated with endoscope and 8 (27.6%) under
microscope. The mean duration of surgery was 30.5±3.77 minutes. The mean
follow-up time was 69.6±21.6 (range; 24-112 weeks). Graft take rate was 89.7%
(26/29). Conclusion. Inlay butterfly cartilage tympanoplasty is a
minimal invasive and effective technique for repairing large central tympanic
membrane perforations. 

Keywords

Tympanoplasty, butterfly, cartilage, central perforations, take rate

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