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Transtympanic soft tissue tympanoplasty can replace conventional techniques elevating tympanic membranes

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Most traditional tympanoplasties require elevating the tympanic membrane (TM). These techniques are rather complicated and success rates are not perfect. Therefore, the authors developed a novel technique, transtympanic soft tissue (TST) tympanoplasty, which does not require raising eardrums, and evaluated its surgical efficiency compared to perichondrium underlay (PU) tympanoplasty.

Study design

A retrospective study was conducted in a single center.

Methods

152 cases who underwent TST tympanoplasty (n = 70) or PU tympanoplasty (n = 82) between 2011 and 2020 were included in the study. Perforation location, pure tone audiometry, complications, and closure rates were analyzed according to the size of the TM perforations: moderate perforation (25–40%, n = 100) and large perforation (≥ 40%, n = 52).

Results

For the moderate perforations, the closure rates of the TST (n = 45) and PU (n = 55) groups were 93.3% and 89.1%, respectively (p = 0.461), and even for the large perforations, the success rates were 88.0% in the TST group (n = 25) and 81.5% in the PU group (n = 27) (p = 0.515). The mean postoperative air–bone gap (ABG) values of the TST group for moderate and large perforations were 5.3 ± 5.8 dB and 6.6 ± 5.7 dB, respectively. There was no significant difference in postoperative ABG between the two surgical procedures (p > 0.05). The total operation time for TST tympanoplasty was significantly shorter than that for PU tympanoplasty (p = 0.002).

Conclusions

TST tympanoplasty is considered a novel, simple technique to replace traditional tympanoplasty techniques involving raising eardrums, even for large-sized perforations.

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Funding

The authors have no funding or financial relationships to declare.

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Author notes

  1. Jungho Ha and Hantai Kim equally contributed this study.

Authors and Affiliations

  1. Department of Otolaryngology, Ajou University School of Medicine, Suwon, 16499, Republic of Korea

    Jungho Ha, Jeong Hun Jang, Hun Yi Park & Yun-Hoon Choung

  2. Department of Otorhinolaryngology-Head and Neck Surgery, Konyang University College of Medicine, Daejeon, 35365, Republic of Korea

    Hantai Kim

  3. Department of Medical Sciences, Ajou University Graduate School of Medicine, Suwon, 16499, Republic of Korea

    Jungho Ha, Hantai Kim & Yun-Hoon Choung

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  1. Jungho Ha
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  2. Hantai Kim
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  3. Jeong Hun Jang
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Corresponding author

Correspondence to Yun-Hoon Choung.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Board of Ajou University Hospital (AJIRB-MED-MDB-21-709) and with the 1964 Helsinki Declaration and its later amendments or comparable standards.

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Ha, J., Kim, H., Jang, J.H. et al. Transtympanic soft tissue tympanoplasty can replace conventional techniques elevating tympanic membranes. Eur Arch Otorhinolaryngol 279, 5639–5645 (2022). https://doi.org/10.1007/s00405-022-07427-2

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  • DOI: https://doi.org/10.1007/s00405-022-07427-2

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