Clinical study of butterfly cartilage myringoplasty for anterior quadrant tympanic perforation under endoscope
10.3760/cma.j.cn115330-20190626-00409
- VernacularTitle:耳内镜蝶形软骨嵌入法修补鼓膜前缘穿孔的临床研究
- Author:
Yang LI
1
;
Haiqin LIU
;
Ying SHENG
;
Jing YAN
;
Yinglong XU
;
Jianmin LIANG
;
Baojun WU
;
Qing ZHANG
;
Xiaoyong REN
Author Information
1. 西安交通大学第二附属医院耳鼻咽喉头颈外科病院，西安 710004
- Keywords:
Tympanic membrane perforation;
Endoscopy;
Myringoplasty
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2020;55(6):611-614
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the results of butterfly cartilage myringoplasty for anterior quadrant tympanic perforation under endoscope.Methods:Thirty-eight patients with anterior quadrant tympanic perforations who were subjected to endoscopic butterfly cartilage myringoplasty from April 2016 to October 2018 were included in this study, including 16 males and 22 females, with an average age of (34.5±14.2) years. The patients were reviewed retrospectively, and the pre-and post-operative pure tone audiometry (PTA) thresholds, pre-and post-operative air-bone gaps (ABG), post-operative graft success rates and complications were evaluated. SPSS 23.0 was used to analyze data.Results:Mean post-operative follow-up duration was (9.4±3.1) months (range 6-18 months). The graft survival rate was 94.7% (36/38) . The preoperative and postoperative mean PTA was (30.9±8.9) dB HL and (21.4±7.7) dB HL respectively. Preoperative and postoperative mean ABG was (18.4±6.3) dB and (10.8±6.0) dB respectively. There was significant difference between pre-and postoperative PTA and ABG ( t=5.353 and 4.162, P<0.05 for both). A postoperative ABG reduction of (8.3±1.5) dB was reached. Two (4.7%) patients had postoperative myringitis, two (4.7%) had recurrent perforation, and one (2.4%) had lateral healing of transplanted tympanic membrane in the postoperative follow-ups. No intratympanic cholesteatoma was observed. Conclusions:Endoscopic butterfly inlay myringoplasty is a reliable, minimally invasive alternative method to repair anterior tympanic membrane perforations, with high closure rate and low risk of complications.
