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Endoscopic cartilage butterfly myringoplasty in children
Abdulvahap Akyigit1, Turgut Karlidag2, Erol Keles2
1Elazığ Education and Research Hospital, Clinic of ENT, Elazig, Turkey.
Insights
Endoscopic inlay butterfly myringoplasty in children with chronic otitis media shows high graft success and effective hearing improvement. This minimally invasive technique offers excellent patient comfort and outcomes.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Innovation
Background:
- Chronic otitis media frequently affects children, necessitating effective surgical interventions.
- Myringoplasty aims to repair tympanic membrane perforations and restore hearing.
- Endoscopic techniques offer minimally invasive approaches to middle ear surgery.
Purpose of the Study:
- To evaluate graft success rates in pediatric patients undergoing endoscopic inlay butterfly myringoplasty.
- To assess hearing gain and functional outcomes after the procedure.
- To determine the safety and efficacy of this technique in children with chronic otitis media.
Main Methods:
- A cohort of 32 pediatric patients (ages 8-17) with chronic otitis media underwent endoscopic inlay butterfly myringoplasty.
- Preoperative and postoperative hearing status, including air-bone gap (ABG), was meticulously examined.
- Patient demographics and tympanic membrane perforation sizes were recorded.
Main Results:
- Significant reduction in air-bone gap from 18.5±6.29dB preoperatively to 7.96±3.32dB at 12 months postoperatively.
- High graft success rate observed, with only 6.3% experiencing myringitis or recurrent perforation.
- Perforation sizes ranged from ≤3mm in 12 patients to 3-6mm in 20 patients.
Conclusions:
- Endoscopic inlay butterfly tympanoplasty is a safe and effective procedure for pediatric chronic otitis media.
- The technique demonstrates high graft success rates and significant hearing reconstruction in children.
- Short surgical duration and high patient comfort are key advantages of this endoscopic approach.
Objective:
The present study evaluated the results of the graft success rate and hearing gain of children who underwent endoscopic inlay butterfly myringoplasty due to chronic otitis media.
Methods:
The study included 32 pediatric patients aged between 8 and 17, who had endoscopic inlay butterfly myringoplasty with the diagnosis of chronic otitis media between September 2012 and January 2015 in Elazig Training and Research Hospital Otorhinolaryngology Clinic and Firat University Otorhinolaryngology Clinic. All patients' demographics, perforation size, and hearing status were examined.
Results:
Tympanic membrane perforation was ≤3mm in 12 patients and between 3 and 6mm in 20 patients. The air-bone gap (ABG) of the patients was 18.5±6.29dB preoperatively, 8.81±3.53dB postoperatively second month, 8.09±3.55dB postoperatively sixth month, and 7.96±3.32dB postoperatively 12th month. Two (6.3%) of the patients had postoperative myringitis. Two (6.3%) patients had recurrent perforation in the postoperative follow-ups.
Conclusion:
In children, endoscopic inlay butterfly tympanoplasty is a surgical technique with short duration, high graft success, effective hearing reconstruction, and high levels of postoperative patient comfort.
