Endoscopic butterfly cartilage myringoplasty: our long term results.
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| Title: | Endoscopic butterfly cartilage myringoplasty: our long term results. |
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| Authors: | Yemiş, Tuğba (AUTHOR), Birinci, Mehmet (AUTHOR), Çeliker, Metin (AUTHOR), Özgür, Abdulkadir (AUTHOR), Coşkun, Zerrin Özergin (AUTHOR), Gül, Oğuz (AUTHOR), Tarakçı, Elif Ayten (AUTHOR), Dursun, Engin (AUTHOR), Erdivanlı, Özlem Çelebi (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Feb2025, Vol. 145 Issue 2, p123-127. 5p. |
| Subjects: | Cartilage transplantation, Ear anatomy, Tympanic membrane perforation, Transplantation of organs, tissues, etc., Patient safety, Endoscopic surgery, Treatment effectiveness, Functional status, Retrospective studies, Audiometry, Endoscopy, Ear surgery, Patient aftercare |
| Abstract (English): | Background: Myringoplasty is one of the treatments used for perforated tympanic membrane. Aim/objective: We aimed to evaluate the long-term anatomical and functional outcomes of patients who underwent endoscopic inlay butterfly cartilage myringoplasty. Material and methods: We retrospectively analyzed 74 patients who had undergone endoscopic butterfly cartilage myringoplasty were followed for at least five years. The evaluation included age, sex, duration of follow-up, perforation location, size, preoperative and postoperative pure tone audiometry thresholds (years 2 and 5), air-bone gap, follow-up complications, and postoperative graft and tympanic membrane status. Results: The study included 74 patients with a mean follow-up duration of 76.7 months (range: 60–125 months). The graft success rates were 89.1% at two years and 82.4% at five years postoperatively. There was a significant improvement in air conduction thresholds when comparing preoperative levels to those at two and five years postoperatively (p = 0.003). The air-bone gap showed a significant reduction from preoperative levels to those observed at two and five years postoperatively (p < 0.0001). Conclusion and significance: Our study demonstrates that endoscopic butterfly cartilage myringoplasty is safe and effective for achieving long-term anatomical and functional success. We recommend extending the follow-up period to five years with additional annual assessments thereafter. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 鼓膜成形术是治疗鼓膜穿孔的方法之一。 评估接受内镜嵌体蝶形软骨鼓膜成形术的患者的长期解剖和功能结果。 我们回顾性分析了 74 名接受内镜蝶形软骨鼓膜成形术及至少五年随访的患者。评估包括年龄、性别、随访时间、穿孔位置、大小、术前和术后纯音测听阈值(第 2 年和第 5 年)、气骨间隙、随访并发症以及术后移植物和鼓膜状态。 本研究包括 74 名患者, 平均随访时间为 76.7 个月(范围: 60-125 个月)。术后两年和五年的移植成功率分别为 89.1% 和 82.4%。将术前值与术后两年和五年相比, 气导阈值有显著改善(p = 0.003)。气骨间隙从术前水平显著缩小到术后两年和五年的水平(p < 0.0001)。 我们的研究表明, 内窥镜蝶形软骨鼓膜成形术是安全有效的, 可取得解剖和功能方面的长期成功。我们建议将随访期延长至五年, 此后每年进行额外的评估。 [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Myringoplasty is one of the treatments used for perforated tympanic membrane. Aim/objective: We aimed to evaluate the long-term anatomical and functional outcomes of patients who underwent endoscopic inlay butterfly cartilage myringoplasty. Material and methods: We retrospectively analyzed 74 patients who had undergone endoscopic butterfly cartilage myringoplasty were followed for at least five years. The evaluation included age, sex, duration of follow-up, perforation location, size, preoperative and postoperative pure tone audiometry thresholds (years 2 and 5), air-bone gap, follow-up complications, and postoperative graft and tympanic membrane status. Results: The study included 74 patients with a mean follow-up duration of 76.7 months (range: 60–125 months). The graft success rates were 89.1% at two years and 82.4% at five years postoperatively. There was a significant improvement in air conduction thresholds when comparing preoperative levels to those at two and five years postoperatively (p = 0.003). The air-bone gap showed a significant reduction from preoperative levels to those observed at two and five years postoperatively (p < 0.0001). Conclusion and significance: Our study demonstrates that endoscopic butterfly cartilage myringoplasty is safe and effective for achieving long-term anatomical and functional success. We recommend extending the follow-up period to five years with additional annual assessments thereafter. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00016489 |
| DOI: | 10.1080/00016489.2025.2449598 |
