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Inlay Butterfly Cartilage Tympanoplasty: Anatomic and Functional Results

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Abstract

To evaluate anatomic/functional results of inlay butterfly cartilage tympanoplasty and compare those with the results of over-underlay perichondrium-cartilage island or temporalis fascia tympanoplasties. Patients who operated for primary type 1 tympanoplasty (n = 78) with inlay butterfly cartilage (n = 25), over-underlay perichondrium-cartilage island (n = 36) or over-underlay temporalis fascia (n = 17) graft from January 2005 to January 2015 were included in the study. Age, gender, pre-/postoperative otoscopy findings/audiograms, and follow-up time were obtained from the patient’s file. Anatomic integrity rates of the tympanic membrane, the mean gains of air bone gap on pure tone audiogram at four frequencies (0.5, 1, 2, 4 kHz) and complications were reviewed parameters. Functional evaluation was made in patients with intact tympanic membrane. Anatomic integrity rates of the tympanic membrane was 92.00% for inlay butterfly cartilage tympanoplasty, 91.67% over-underlay perichondrium cartilage island tympanoplasty and 88.2% over-underlay fascia tympanoplasty. The mean gains of air bone gap on pure tone audiogram for the inlay butterfly cartilage, over-underlay perichondrium cartilage island and over-underlay fascia graft group were 11.28, 12.84 and 12.66 dB respectively. Inlay butterfly cartilage tympanoplasty is a reliable and simple technique with satisfactory outcomes in selected cases. The anatomic and functional results after inlay butterfly cartilage tympanoplasty are parallel to the results of over-underlay perichondrium-cartilage island or temporalis fascia tympanoplasties.

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References

  1. Wullstein HL (1956) Theory and practice of tympanoplasty. Laryngoscope 66:1079–1093

    Article  Google Scholar 

  2. Zollner F (1955) The principles of plastic surgery of the sound conducting apparatus. J Laryngol Otol 69:637–652

    Article  PubMed  CAS  Google Scholar 

  3. Lubianca-Neto JF (2000) Inlay butterfly cartilage tympanoplasty (Eavey technique) modified for adults. Otolaryngol Head Neck Surg 123(4):492–494

    Article  PubMed  CAS  Google Scholar 

  4. Sheehy JL, Glasscock ME 3rd (1967) Tympanic membrane grafting with temporalis fascia. Arch Otolaryngol 86:391–402

    Article  PubMed  CAS  Google Scholar 

  5. Rizer FM (1997) Overlay versus underlay tympanoplasty. Part II: the study. Laryngoscope 107:26–36

    Article  PubMed  CAS  Google Scholar 

  6. Dornhoffer JL (1997) Hearing results with cartilage tympanoplasty. Laryngoscope. 107:1094–1099

    Article  PubMed  CAS  Google Scholar 

  7. Eavey RD (1998) Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope 108:657–661

    Article  PubMed  CAS  Google Scholar 

  8. Lau T, Tos M (1986) Tympanoplasty in children. An analysis of late results. Am J Otol 7:55–59

    Article  PubMed  CAS  Google Scholar 

  9. Hod R, Buda I, Hazan A, Nageris BI (2013) Inlay “butterfly” cartilage tympanoplasty. Am J Otolaryngol 34:41–43

    Article  PubMed  Google Scholar 

  10. Sheehy JL (1994) Tympanoplasty: outer surface grafting technique. Otologic surgery. Philadelphia, WB Saunders, pp 121–132

    Google Scholar 

  11. Haksever M, Akduman D, Solmaz F, Gündoğdu E (2015) Inlay butterfly cartilage tympanoplasty in the treatment of dry central perforated chronic otitis media as an effective and time-saving procedure. Eur Arch Otorhinolaryngol 272:867–872

    Article  PubMed  Google Scholar 

  12. Couloigner V, Baculard F, El Bakkouri W, Viala P, François M, Narcy P, Van Den Abbeele T (2005) Inlay butterfly cartilage tympanoplasty in children. Otol Neurotol 26:247–251

    Article  PubMed  Google Scholar 

  13. Gross CW, Bassila M, Lazar RH, Long TE, Stagner S (1989) Adipose plug myringoplasty: an alternative to formal myringoplasty techniques in children. Otolaryngol Head Neck Surg 101:617–620

    Article  PubMed  CAS  Google Scholar 

  14. Ghanem MA, Monroy A, Alizade FS, Nicolau Y, Eavey RD (2006) Butterfly cartilage graft inlay tympanoplasty for large perforations. Laryngoscope 116:1813–1816

    Article  PubMed  Google Scholar 

  15. Mauri M, Lubianca Neto JF, Fuchs SC (2001) Evaluation of inlay butterfly cartilage tympanoplasty: a randomized clinical trial. Laryngoscope 111:1479–1485

    Article  PubMed  CAS  Google Scholar 

  16. Dornhoffer JL (2006) Cartilage tympanoplasty. Otolaryngol Clin North Am 39:1161–1176

    Article  PubMed  Google Scholar 

  17. Cavaliere M, Mottola G, Rondinelli M, Iemma M (2009) Tragal cartilage in tympanoplasty: anatomic and functional results in 306 cases. Acta Otorhinolaryngol Ital 29:27–32

    PubMed  PubMed Central  CAS  Google Scholar 

  18. Dornhoffer J (2003) Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope 113:1844–1856

    Article  PubMed  Google Scholar 

  19. Kim HJ, Kim MJ, Jeon JH, Kim JM, Moon IS, Lee WS (2014) Functional and practical outcomes of inlay butterfly cartilage tympanoplasty. Otol Neurotol 35:1458–1462

    Article  PubMed  Google Scholar 

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Correspondence to Cagatay Han Ulku.

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Informed consent was obtained from all individual participants included in the study.

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For this type of study formal consent is not required. This article does not contain any studies with animals performed by any of the authors.

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Ulku, C.H. Inlay Butterfly Cartilage Tympanoplasty: Anatomic and Functional Results. Indian J Otolaryngol Head Neck Surg 70, 235–239 (2018). https://doi.org/10.1007/s12070-017-1097-2

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  • DOI: https://doi.org/10.1007/s12070-017-1097-2

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