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Tympanoplasty: The Inlay Technique Step by Step

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Textbook of Otitis Media

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Abstract

Tympanoplasty is the term that describes reconstructive surgeries in the tympanic cleft. In the inlay approach, the graft is inserted through the tympanic membrane perforation and lies on it. Different types of grafts can be used. Cartilage (tragal or conchal) is gaining popularity more recently for primary cases. It was only in 1998 that the butterfly tympanoplasty, a transcanal inlay technique, that uses cartilage as graft, was first described by Ron Eavey. Curiously, it was in 2001 that the first randomized clinical trial published in the field of surgical techniques of tympanoplasty was published and compared butterfly cartilage inlay tympanoplasty (BICT) with temporal fascia underlay tympanoplasty (TFUT). In conclusion, although the take rate and audiometric results following BCIT or TUFT were similar, the BCIT provides several practical advantages.

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Acknowledgments

We are grateful to Dr. Daniela Boeira da Silva, an excellent otorhinolaryngologist and illustrator.

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Authors and Affiliations

  1. Federal University of Health Sciences of Porto Alegre (UFCSPA), Santo Antonio Children’s Hospital, Porto Alegre, RS, Brazil

    José Faibes Lubianca Neto

  2. Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil

    João Pedro Neves Lubianca

  3. Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil

    Marcelo Neves Lubianca

  4. Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

    Roland Douglas Eavey

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  1. José Faibes Lubianca Neto
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  4. Roland Douglas Eavey
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Correspondence to José Faibes Lubianca Neto .

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Editors and Affiliations

  1. Department of Otolaryngology, Clínica Universidad de Los Andes, Santiago, Chile, USA

    Marcos V. Goycoolea

  2. Otolaryngology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Sady Selaimen da Costa

  3. Department of Otolaryngology, Tata Memorial Hospital, Mumbai, Maharashtra, India

    Chris de Souza

  4. Paparella Ear Head & Neck Institute, University of Minnesota, Minneapolis, MN, USA

    Michael M. Paparella

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Lubianca Neto, J.F., Lubianca, J.P.N., Lubianca, M.N., Eavey, R.D. (2023). Tympanoplasty: The Inlay Technique Step by Step. In: Goycoolea, M.V., Selaimen da Costa, S., de Souza, C., Paparella, M.M. (eds) Textbook of Otitis Media. Springer, Cham. https://doi.org/10.1007/978-3-031-40949-3_51

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