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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  and
B Erden
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: burakerden@windowslive.com
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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.

Keywords

TympanoplastyEar CartilageTympanic Membrane PerforationTympanic MembraneHearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 2 , February 2020 , pp. 128 - 134
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

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