Related Experiment Video
Updated: May 14, 2026

Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
[Modified butterfly cartilage tympanoplasty: retrospective study on 26 patients]
I Belhossine1, S Pezzettigotta, E Genty
1Institut Arthur Vernes, 36 rue d'Assas, 75006 Paris, France.
Objective:
To assess the results of inlay butterfly tympanoplasty on dry perforation.
Study Design:
Retrospective case study.
Patients:
26 patient (14 male, 12 female), mean age 38 years, ranged from 9 to 73. Mean follow up: 20 months.
Surgery:
Inlay cartilage butterfly tympanoplasty performed under general or local anesthesia according to the technique originally described by Eavey, with our specific modifications (use of a dermatological punch).
Results:
92.3% of perforation closure was obtained; 2 residual perforations and 1 non-epithelialisation were observed. No iatrogenic cholesteatoma was observed. The mean preoperative to post operative four-tone air bone gap improved from 27.67 to 20.1 (mean gain 7.5).
Conclusion:
Inlay butterfly cartilage tympanoplasty is a safe, efficient and easy technique. This technique need more prospective evaluation, and its place among other techniques of tympanoplasty needs to be precised.

