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Endoscopic butterfly inlay myringoplasty for large perforations
Emine Demir1, Zerrin Ozergin Coskun2, Metin Celiker2
1Department of Otorhinolaryngology, Faculty of Medicine, Recep Tayyip Erdogan University, Sehitler Street, No:74, Rize, Turkey. emine.demir@erdogan.edu.tr.
Summary
Endoscopic butterfly inlay myringoplasty offers a safe and effective solution for large eardrum perforations, demonstrating high graft success and significant hearing improvement.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Otoendoscopy is gaining traction in ear surgery.
- Endoscopic tympanoplasty data is still emerging.
Purpose of the Study:
- To evaluate anatomical and functional outcomes of endoscopic butterfly inlay myringoplasty.
- Focus on large tympanic membrane perforations.
Main Methods:
- Retrospective analysis of 26 ears with large perforations.
- Cartilage inlay myringoplasty using an endoscopic technique.
- Evaluation of graft success and audiological results.
Main Results:
- High graft success rate of 96% (25/26 ears).
- Significant improvement in air-bone gap (ABG) from 21.4 dB to 14.4 dB (p < 0.005).
- Mean follow-up of 13.3 months.
Conclusions:
- Endoscopic inlay butterfly myringoplasty is a safe procedure.
- Achieves satisfactory anatomical and audiological outcomes.
- Effective for treating large tympanic perforations.
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