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Microscopic versus Endoscopic Inlay Butterfly Cartilage Tympanoplasty

Inlay butterfly cartilage tympanoplasty makes the graft easy, and reduces operating time. The present study aimed to investigate the outcomes of microscopic versus endoscopic inlay butterfly cartilage tympanoplasty. In this retrospective study, the outcomes of 63 patients who underwent inlay butterf...

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Bibliographic Details
Published in:Journal of audiology & otology 2019, 23(3), , pp.140-144
Main Authors: Lee, Se A, Kang, Hyun Tag, Lee, Yun Ji, Kim, Bo Gyung, Lee, Jong Dae
Format: Article
Language:English
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Summary:Inlay butterfly cartilage tympanoplasty makes the graft easy, and reduces operating time. The present study aimed to investigate the outcomes of microscopic versus endoscopic inlay butterfly cartilage tympanoplasty. In this retrospective study, the outcomes of 63 patients who underwent inlay butterfly cartilage tympanoplasty with small to medium chronic tympanic membrane perforation were evaluated. Twenty-four patients underwent conventional microscopic tympanoplasty and 39 underwent endoscopic tympanoplasty. The outcomes were analyzed in terms of the hearing gain and graft success rate. The surgical success rate was 95.8% in the patients who underwent conventional microscopic tympanoplasty and 92.3% in those who underwent endoscopic tympanoplasty. In both groups of patients, the postoperative air-bone gap (ABG) was significantly lower than the preoperative ABG. There were no significant differences between the preoperative and postoperative ABG values in either group. Endoscopic inlay tympanoplasty using the butterfly cartilage technique appears to be an effective alternative to microscopic tympanoplasty and results in excellent hearing.
ISSN:2384-1621
2384-1710
DOI:10.7874/jao.2018.00549