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Endoscopic triple-C tympanoplasty: an alternative approach to anteriorly located tympanic membrane repair

Published online by Cambridge University Press:  31 October 2018

H Demirhan ,
Ö Yiğit ,
B Hamit  and
M Çakır
H Demirhan*
Affiliation:
Otorhinolaryngology Department, University of Health Sciences, Istanbul Training and Research Hospital, Turkey
Ö Yiğit
Affiliation:
Otorhinolaryngology Department, University of Health Sciences, Istanbul Training and Research Hospital, Turkey
B Hamit
Affiliation:
Otorhinolaryngology Department, Iskilip State Hospital, Çorum, Turkey
M Çakır
Affiliation:
Otorhinolaryngology Department, University of Health Sciences, Istanbul Training and Research Hospital, Turkey
*
Author for correspondence: Dr Hasan Demirhan, Sağlık Bilimleri Üniversitesi, İstanbul Egitim ve Arastirma Hastanesi, KBB Klinigi, Kasap İlyas Mah. Org. Abdurrahman Nafiz Gurman Cad, PK: 34098, Fatih – Istanbul, Turkey E-mail: hdemirhan23@hotmail.com
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Abstract

Objective

Anteriorly located tympanic membrane perforations can negatively affect surgical success rates. This study aimed to present, using our case series results, endoscopic triple-C (composite chondroperichondrial clip) tympanoplasty as an alternative method in the repair of tympanic membrane anterior quadrant perforations.

Methods

This study included patients with a perforation sized greater than 3 mm, who had an anterior quadrant dominant perforation where the anterior portion could not be seen during microscopic examination; all underwent endoscopic triple-C tympanoplasty.

Results

Operating time was 30–79 minutes (mean, 46.6 minutes). The post-operative graft success rate at six months was 92 per cent (23 out of 25). Mean post-operative follow-up duration was 21.5 ± 7.3 months (range, 11–40 months), and no intratympanic cholesteatoma was observed.

Conclusion

Endoscopic triple-C tympanoplasty is a comfortable, minimally invasive alternative method to repair anterior tympanic membrane perforations. The graft success rate and the degree of recovery from hearing loss were in accordance with the literature. However, more reliable results may be obtained in a larger series with longer follow-up times.

Keywords

Tympanic Membrane PerforationTympanic MembraneEndoscopyCartilageTympanoplastyInlays
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 11 , November 2018 , pp. 1007 - 1009
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr H Demirhan takes responsibility for the integrity of the content of the paper

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