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Evaluating butterfly inlay tympanoplasty.

Ryan S Ference¹, James A Leonard¹, Michael S Weinstock²

¹Albert Einstein College of Medicine, Montefiore Medical Center, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.

International Journal of Pediatric Otorhinolaryngology

|September 27, 2019

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Butterfly tympanoplasty (BT) offers similar closure rates and hearing improvement compared to underlay tympanoplasty (UT) in children. This technique also significantly reduces operative time for pediatric otolaryngologists.

Area of Science:

Otolaryngology
Pediatric Surgery
Surgical Techniques

Background:

Tympanoplasty is a common surgical procedure to repair tympanic membrane perforations.
Underlay tympanoplasty (UT) is a widely used technique, but operative times can be lengthy.
Exploring alternative techniques like butterfly tympanoplasty (BT) may offer advantages.

Purpose of the Study:

To compare the efficacy of butterfly tympanoplasty (BT) versus underlay tympanoplasty (UT) in pediatric patients.
Key outcome measures include perforation closure rate, air-bone gap reduction, and operative time.

Main Methods:

A retrospective cohort study was conducted on pediatric patients (<18 years) undergoing Type I tympanoplasty between 2009 and 2017.
Patients with less than 6 months follow-up, mastoidectomy, fat graft, or cholesteatoma were excluded.

Keywords:

Hearing loss Otology Pediatrics Tympanoplasty

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Data on perforation size, air-bone gap, operative time, and closure rates were analyzed.

Main Results:

The study included 21 patients for BT and 41 for UT, with similar mean ages.
Operative time was significantly reduced in the BT group (94.0 min) compared to the UT group (150.9 min) (p=0.01).
Both techniques demonstrated similar perforation closure rates (BT: 85.7%, UT: 75.6%) and comparable reductions in air-bone gap across tested frequencies.

Conclusions:

Butterfly tympanoplasty (BT) is a reliable and effective surgical option for pediatric tympanic membrane perforations.
BT achieves comparable closure rates and hearing improvement to UT while offering a significant reduction in operative time.
This suggests BT is a valuable tool for pediatric otolaryngologists.