Inlay Butterfly Cartilage Tympanoplasty in Children

Couloigner, V.; Baculard, F.; Bakkouri, W. El; Viala, P; François, M.; Narcy, P; Abbeele, Thierry Van Den

doi:10.1097/00129492-200503000-00020

Cited by 112 publications

(111 citation statements)

References 17 publications

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“…Eavey (3) describes it in 9% (n=1), Ghanem et al (4) in 14% (n=14), Rourke et al [7] in 11% (n=4) and Couloignier et al (9) in 5% (n=3) of patients. It was treated with 1 week of topical 0.3% ciprofloxacin eye drops and resolved in all four patients by 3 months after surgery (9). During our follow-up time in this retrospective study 20% (n=5) was noted.…”

Section: Discussionmentioning

confidence: 99%

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Butterfly cartilage graft myringoplasty results

Apuhan¹,

Kaya²,

Şimşek³

et al. 2012

Turk J Bioch

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Bu çalışmanın amacı Kulak Burun Boğaz Kliniğine başvuran ve "kıkırdak greft butterfly miringoplasti" ameliyatı yaptığımız kronik otitis medialı hastalarda işitme düzeyini retrospektif olarak analiz etmektir. Yöntemler: Çalışmaya 22 hasta (26 kulak) dahil edildi. 18 hastada genel anestezi altında 8 hastada lokal anestezi altında, gerçekleştirildi. Cerrahi 22 hastada tek kulakta 4 hastada her ki kulakta ve Eavey tarafından tarif edildiği şekilde gerçekleştirildi. Ameliyat öncesi ve ameliyat sonrası yapılan odyolojik incelemeler retrospektif olarak analiz edildi. Bulgular: Çalışmaya dahil edilen 22 hasta (26 kulak)' nın yaşları 12-44 arasında idi. Postoperatif takipte kıkırdak greft butterfly tekniği uygulanan 26 kulağın perforasyonunun kapandığı görüldü. Hastaların odyolojik incelemesinde ameliyat öncesi hava kemik aralığı (ABG) ortalama 14,81±4,12 dB iken, ameliyat sonrası ortalama 6,27±4,50 dB olarak ölçüldü. ABG acısından preoperatif döneme göre postoperatif dönemdeki azalmanın istatistiksel olarak anlamlı olduğu görüldü (p<0.05). Sonuç: Kronik otitis medialı hastalarda kıkırdak greft butterfly miringoplasti tekniğinin güvenli, kolay, kısa sürede yapılabilen, küçük ve orta boyuttaki perforasyonlarda uygulanabilecek bir teknik olduğu görüldü.

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Section: Discussionmentioning

confidence: 99%

“…During our follow-up time in this retrospective study 20% (n=5) was noted. The butterfly edge diminishes graft lateralization and displacement caused by patient activities, especially in children, and provides an instant 'locking' of the graft (4,9). No packing is required to 'stabilize' the graft.…”

Section: Discussionmentioning

confidence: 99%

Butterfly cartilage graft myringoplasty results

Apuhan¹,

Kaya²,

Şimşek³

et al. 2012

Turk J Bioch

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“…7 Studies by Gierek et al and Couloinger et al have proven that there is no significant hearing difference between the use of temporalis fascia and cartilage for myringoplasty. 25,26 The composite chondro-perichondrial -clip‖ myringoplasty using the tragal cartilage and transcanal approach has a lot of advantages such as its a minimally invasive surgery done transcanally with an endoscope, it can be done in less than 30 minutes duration, it has good postoperative results in the form of perforation closure and improvement in hearing and it is cost-effective as it can be done under local anaesthesia and there is reduced hospital stay. We have taken cases with less than 35 dB hearing loss for our study, as middle ear ossicular pathology is rare in this class.…”

Section: Discussionmentioning

confidence: 99%

Composite chondro-perichondrial clip myringoplasty: our experience

Shrikrishna

Jyothi

2016

Int J Otorhinolaryngol Head Neck Surg

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Background: There are several studies on the efficacy of the commonly used temporalis fascia for myringoplasty where the temporalis fascia is placed by underlay method after incising external canal wall skin. This study was conducted assess the success rate and efficacy of use of a composite chondro-perichondrial graft in a combined overlay-underlay fashion where the external canal wall is not incised. Methods: A prospective study was conducted where 30 cases of non-marginal perforation of tympanic membrane were properly selected based on the inclusion criteria. All the 30 cases underwent myringoplasty using composite chondro-perichondrial graft harvested from tragal cartilage and placed in a combined overlay-underlay fashion. Results: There was complete closure of the perforation in 27 of the total 30 cases. Also there was reduction in the air-bone gap post-operatively in all the 27 cases with complete closure of the tympanic membrane perforations. Conclusions: Composite chondro-perichondrial clip myringoplasty is an effective method of closing non-marginal perforations of the tympanic membrane.

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“…The varied autografts used are skin, perichondrium, vein, temporalis fascia, dura and cartilage. [4][5][6] Temporalis fascia remains the most frequently used graft material. Cartilage was first used in middle ear surgery for ossicular chain reconstruction in 1958 by Jansen 7 and the popular techniques for cartilage tympanoplasty described by MirkoTos include inlay butterfly, perichondrium-cartilage island flap, cartilage shield technique and palisade technique.…”

Section: Introductionmentioning

confidence: 99%

Comparison of outcomes of palisade cartilage with temporalis fascia following tympanoplasty at a tertiary care centre in Nepal

Jaiswal

Chettri

Shah

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Mucosal type of chronic otitis media is a common disease worldwide with 5.2% prevalence in Nepal. Cartilage material is criticized in terms of hearing results due to its thickness. The objective of this study was to compare graft uptake and post-operative hearing of palisade cartilage with temporalis fascia following tympanoplasty.Methods: A prospective randomized study conducted over 12 months included subjects of chronic otitis media mucosal inactive having dry ear for at least 4 weeks. 76 subjects were enrolled and reviewed on 6th post-operative day, 6th and 12th post-operative week. The graft uptake and post-operative hearing were evaluated. The results were compared within and between the groups. Results: The graft uptake on 42nd and 90th post-operative days were comparable with no statistical difference. The difference of mean pre-operative, 42nd and 90th post-operative air bone gaps in palisade cartilage and temporalis fascia were also comparable. The results were statistically significant, showing improvement in hearing after surgery. Closure of air-bone gap within 30 dB was achieved in 71.87% in temporalis fascia and 88.89% in palisade cartilage. The intergroup difference was not statistically significant.Conclusions: The graft uptake rates and hearing results after palisade cartilage are similar to temporalis fascia.

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Inlay Butterfly Cartilage Tympanoplasty in Children

Abstract: Inlay butterfly cartilage tympanoplasty is a safe, efficient, time-saving, and easy technique of tympanoplasty in children. Anatomic results may be improved by associating a split-thickness skin graft and/or by trimming a tragal graft much larger than the size of the perforation.

Cited by 112 publications

References 17 publications

Butterfly cartilage graft myringoplasty results

Butterfly cartilage graft myringoplasty results

Composite chondro-perichondrial clip myringoplasty: our experience

Comparison of outcomes of palisade cartilage with temporalis fascia following tympanoplasty at a tertiary care centre in Nepal

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