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Published on: December 15, 2023
[Transcanal butterfly cartilage tympanoplasty]
Bariş Karakullukçu1, Engin Acioğlu, Muhammet Pamukçu
1Department of Otolaryngology, Cerrahpaşa Medicine Faculty of Istanbul University, Istanbul, Turkey.
Summary
The transcanal butterfly cartilage tympanoplasty technique effectively repaired chronic otitis media in 90.9% of adult patients, significantly improving hearing by reducing air-bone gaps.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Regenerative Medicine
Background:
- Chronic otitis media frequently leads to tympanic membrane perforations.
- Tympanoplasty aims to close perforations and restore hearing.
- Cartilage grafts offer a durable option for tympanic membrane reconstruction.
Purpose of the Study:
- To evaluate the long-term efficacy of the transcanal butterfly cartilage tympanoplasty technique.
- To assess hearing outcomes and perforation closure rates in adult patients.
Main Methods:
- Transcanal butterfly cartilage tympanoplasty was performed on 11 adult patients with chronic otitis media.
- Operations were conducted under general or local anesthesia.
- Follow-up averaged 9.5 months, with perforation sizes ranging from 2 to 6 mm.
Main Results:
- Successful perforation closure was achieved in 10 out of 11 patients (90.9%).
- One patient experienced reperforation in the second month post-surgery.
- Mean air-bone gap improved from 18 dB preoperatively to 6.5 dB postoperatively in 10 patients.
Conclusions:
- The butterfly cartilage tympanoplasty technique is highly effective for central, small tympanic membrane perforations.
- This method is associated with minimal hearing loss.
- The technique offers a successful surgical solution for chronic otitis media with perforations.
