J Audiol Otol.  2019 Jul;23(3):140-144. 10.7874/jao.2018.00549.

Microscopic versus Endoscopic Inlay Butterfly Cartilage Tympanoplasty

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. ljdent@schmc.ac.kr

Abstract

BACKGROUND AND OBJECTIVES
Inlay butterfly cartilage tympanoplasty makes the graft easy, and reduces operating time. The present study aimed to investigate the outcomes of microscopic versus endoscopic inlay butterfly cartilage tympanoplasty.
SUBJECTS AND METHODS
In this retrospective study, the outcomes of 63 patients who underwent inlay butterfly cartilage tympanoplasty with small to medium chronic tympanic membrane perforation were evaluated. Twenty-four patients underwent conventional microscopic tympanoplasty and 39 underwent endoscopic tympanoplasty. The outcomes were analyzed in terms of the hearing gain and graft success rate.
RESULTS
The surgical success rate was 95.8% in the patients who underwent conventional microscopic tympanoplasty and 92.3% in those who underwent endoscopic tympanoplasty. In both groups of patients, the postoperative air-bone gap (ABG) was significantly lower than the preoperative ABG. There were no significant differences between the preoperative and postoperative ABG values in either group.
CONCLUSIONS
Endoscopic inlay tympanoplasty using the butterfly cartilage technique appears to be an effective alternative to microscopic tympanoplasty and results in excellent hearing.

Keyword

Endoscopy; Microscopy; Tympanoplasty; Tympanic membrance perforation

MeSH Terms

Butterflies*
Cartilage*
Endoscopy
Hearing
Humans
Inlays*
Microscopy
Retrospective Studies
Transplants
Tympanic Membrane Perforation
Tympanoplasty*
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