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Updated: May 12, 2026
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Chondroperichondrial clip myringoplasty: a new technique for closure of tympanic membrane perforations
1Department of ENT Head and Neck Surgery, Combined Military Hospital, Rawalpindi, Pakistan. shoaib19_2000@yahoo.com
Objective:
This study aimed to evaluate the feasibility and efficacy of the recently described chondroperichondrial clip myringoplasty technique, and make comparisons with conventional myringoplasty techniques.
Methods:
The study comprised a select group of patients with chronic otitis media (mucosal disease only), with central tympanic membrane perforations affecting less than 50 per cent of the pars tensa, and an air-bone gap below 35 dB. A modified custom-made cartilage perichondrial graft was placed using the recently described 'clip' technique.
Results:
The graft success rate was 91.3 per cent. Post-operatively, the air-bone gap was within 10 dB in 52 per cent of cases and within 10-20 dB in 48 per cent of cases. There were few minor complications.
Conclusion:
Chondroperichondrial clip myringoplasty can be considered as an alternative minimally invasive technique for the repair of select cases of tympanic membrane perforations. This technique, which showed impressive results, was associated with minimum morbidity and reduced operative time.
Insights
The chondroperichondrial clip myringoplasty is a feasible and effective minimally invasive technique for tympanic membrane repair. This method demonstrated a high graft success rate with minimal complications and reduced operative time.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Regenerative Medicine
Background:
- Chronic otitis media often necessitates tympanic membrane repair.
- Conventional myringoplasty techniques have varying success rates and potential complications.
- Minimally invasive surgical approaches are sought to improve patient outcomes.
Purpose of the Study:
- To assess the feasibility and efficacy of the chondroperichondrial clip myringoplasty.
- To compare the outcomes of the clip technique with traditional myringoplasty methods.
- To evaluate the safety and efficiency of this novel surgical approach.
Main Methods:
- A cohort of patients with chronic otitis media and central tympanic membrane perforations (<50% pars tensa) were selected.
- Patients had an air-bone gap below 35 dB.
- A modified custom-made cartilage perichondrial graft was applied using the chondroperichondrial clip technique.
Main Results:
- The graft success rate achieved was 91.3%.
- Postoperative air-bone gaps were within 10 dB in 52% of patients and 10-20 dB in 48%.
- The procedure was associated with minimal complications and reduced operative time.
Conclusions:
- Chondroperichondrial clip myringoplasty is a viable alternative for select tympanic membrane perforations.
- The technique offers impressive results with minimal morbidity.
- This minimally invasive approach presents a promising option for otologic surgery.
