Inlay butterfly miringoplasty. Our experience.

Area of Science:

• Otolaryngology
• Surgical Innovation
• Regenerative Medicine

Background:

• Tympanic perforations can be addressed with various surgical methods.
• The Eavey technique, utilizing a butterfly-shaped cartilage graft, was previously described for pediatric central perforations.
• This inlay graft method demonstrated effectiveness, low morbidity, and cost-efficiency.

Purpose of the Study:

• To evaluate the efficacy and outcomes of a modified Eavey technique for tympanic perforation closure.
• To assess both surgical and audiometric results in a series of pediatric and adult patients.

Main Methods:

• A descriptive case series study analyzed 32 interventions using the modified Eavey technique.
• The study period spanned from January 2012 to November 2016.
• Surgical and audiometric outcomes were systematically evaluated.

Main Results:

• The modified Eavey technique achieved a 93% surgical success rate, with 84% complete perforation closure.
• A significant improvement in the air-bone gap was observed, reducing from 17dB preoperatively to 7dB postoperatively.
• Only one case experienced graft rejection and persistent perforation; no major complications were reported.

Conclusions:

• The modified Eavey technique is a highly effective, cost-efficient, and technically straightforward procedure for closing tympanic perforations.
• This method demonstrates low morbidity and positive functional outcomes in both pediatric and adult populations.
• The technique offers a valuable surgical option for tympanic membrane reconstruction.