Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations

Kaya, İsa; Benzer, Murat; Uslu, Mustafa; Bilgen, Cem; Kirazlı, Tayfun

doi:10.21053/ceo.2017.00549

Cited by 27 publications

(17 citation statements)

References 17 publications

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“…Cartilage graft was taken in 43 cases (97.7%) in this study, which is comparable to other studies as listed in table below (Table-III) [1][2][3]7,[10][11][12][13][14][15][16][17][18]. …”

supporting

confidence: 83%

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Wahid

Nagra

2019

TPMJ

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Objectives: To determine the efficacy of tragal cartilage graft in tympanoplasty type I. Study Design: Quasi-experimental study. Setting: Department of ENT, Head and Neck Surgery, Medical Teaching Institute (MTI), Lady Reading Hospital (LRH), Peshawar, Pakistan. Period: From Jan. 2017 to Dec. 2017 (One Year). Material & Methods: A total of forty four patient fulfilling inclusion criteria were included in this study. All the patients were assessed in terms of detail history, thorough examination focusing on ENT findings. Pure Tone Audiometry (PTA) was performed pre-operative and post-operative at 3 and 6 months interval for the frequencies of 0.5, 1, 2,4 Hz. Data were analyzed using SPSS (version 16). Paired sample t-test of significance was used. The confidence interval was set to 95% and P-value <0.05 was considered significant. Results: Out of 44 patients males were 24 (54.54%), female 20 (45.45%) with Male: Female ratio of 1.2:1. Mean age of the patients was 28. 47 + SD 7.26 Years. There was statistically significant difference between the pre and post-op air conduction (p<.001), and pre-op and post-op air bone gap (p<.001).There was subjectively significant hearing improvement in 31 patients (70.5%). Cartilage graft was taken in 43 patients with success rate of 97.7%. Conclusion: Tragal cartilage is an effective graft material, which yields good results in terms of graft take up, hearing improvement and minimum complication, postoperative healing and acoustic properties.

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“…Cartilage graft was taken in 43 cases (97.7%) in this study, which is comparable to other studies as listed in table below (Table-III) [1][2][3]7,[10][11][12][13][14][15][16][17][18]. …”

supporting

confidence: 83%

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Wahid

Nagra

2019

TPMJ

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“…A disc of cartilage graft was split circumferentially to fit in the edges of the tympanic membrane. The success rate was 95% [32] .…”

Section: Discussionmentioning

confidence: 88%

Use of Butterfly Composite Conchal Cartilage Graft with Local Posteriorly Pedicled Flap in Repair of Nasal Septum Perforations

Begermy

El-Begermy

Kassamy

2020

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Background : Nasal septal surgery is the most frequent cause of nasal septal perforations (NSP). Sometimes when symptomatic they need repair. There are many methods described for repair with a variable percent of success. The multiplicity of techniques and approaches reflect the difficulty of repair. Objective: To describe a new effective method to repair NSP using a butterfly composite conchal cartilage graft (BCG) with local posteriorly pedicled flap in repair of NSP. Patients and Methods: Eleven patients with NSP after nasal septum surgery were involved in this study. In all of them an ample flap, right sided, pedicled posteriorly on sphenopalatine artery was fashioned. It was rotated to cover the perforation on the right side. A composite skin choncal cartilage graft equal to NSP diameter is dissected. The cartilage graft was fashioned by splitting its edge circumferentially with a depth of 2-3 mm and was positioned with the skin island lying on the left side and the fissured graft edge embracing the perforation cartilaginous border inside its fissure. The graft and the flap were fixed in place with quilting and mattress sutures and silastic sheets on both sides. Mucosal flap was used alone in three cases with small perforations. Results: Complete closure of NSP was achieved in 10 cases (91%). Only one case the graft was rejected with partial closure of the perforation due to bad fixation and secondary infection. Conclusion: BCG was an excellent graft to repair NSP if associated with posteriorly pedicled mucosal flap supplied by the sphenopalatine artery.

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“…On examining the full texts, 92 articles were assessed as unsuitable where COM was not the primary disease (7), tympanoplasty subtypes were not the primary intervention (11), the article was not published in English (5), the article did not contain long‐term hearing outcomes (68) or the presented data were too limited (1). Thirty‐nine studies 14‐52 reporting long‐term hearing outcomes and/or complications following middle ear interventions were included for synthesis.…”

Section: Resultsmentioning

confidence: 99%

Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

Lewis¹,

Vanaelst²,

Hua³

et al. 2021

Laryngoscope Investig Oto

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Objective To assess the effectiveness of tympanoplasty in treating chronic otitis media‐related hearing loss, published literature was systematically reviewed to determine the clinical success rate of tympanoplasty at restoring hearing in chronic otitis media patients at a minimum follow‐up period of 12‐months. Data Sources PubMed, Embase and the Cochrane Library. Methods Two independent reviewers performed literature searches. Publications reporting long‐term (≥12‐month) hearing outcomes and complications data on adult and pediatric patients with chronic otitis media were included and assessed for risk of bias and strength of evidence. To assess how tympanoplasty influences long‐term hearing outcomes, data on pure tone audiometry (air‐bone gap) and complications were extracted and synthesized. Results Thirty‐nine studies met the inclusion criteria. Data from 3162 patients indicated that 14.0% of patients encountered postoperative complications. In adult patients, mean weighted air‐bone gap data show closure from 26.5 dB hearing level (HL) (preoperatively) to 16.1 dB HL (postoperatively). In studies that presented combined adult and pediatric data, the mean preoperative air‐bone gap of 26.7 dB HL was closed to 15.4 dB HL. In 1370 patients with synthesizable data, 70.7% of patients had a postoperative air‐bone gap ˂ 20 dB HL at long‐term follow‐up. Finally, subgroup analysis identified that mean improvement in ABG closure for patients with and without cholesteatoma was 10.0 dB HL and 12.4 dB HL, respectively. Conclusion In patients with chronic otitis media, tympanoplasty successfully closed the air‐bone gap to within 20 dB HL in 7/10 cases and had an overall complication rate of 14.0%. Level of Evidence 2a.

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Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations

Cited by 27 publications

References 17 publications

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Use of Butterfly Composite Conchal Cartilage Graft with Local Posteriorly Pedicled Flap in Repair of Nasal Septum Perforations

Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

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