Microscopic versus Endoscopic Inlay Butterfly Cartilage Tympanoplasty
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Background and Objectives: 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. Subjects and Methods: 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. Results: 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. Conclusions: Endoscopic inlay tympanoplasty using the butterfly cartilage technique appears to be an effective alternative to microscopic tympanoplasty and results in excellent hearing.
Abstract
Background and Objectives: 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. Subjects and Methods: 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. Results: 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. Conclusions: Endoscopic inlay tympanoplasty using the butterfly cartilage technique appears to be an effective alternative to microscopic tympanoplasty and results in excellent hearing.
참고문헌 (16)
- Zollner F., "The principles of plastic surgery of the sound-conducting apparatus", J Laryngol Otol, 69, pp.637~652 (1955)
- Wullstein H., "Theory and practice of tympanoplasty", Laryngoscope, 66, pp.1076~1093 (1956)
- Eavey RD, "Inlay tympanoplasty: cartilage butterfly technique", Laryngoscope, 108, pp.657~661 (1998)
- Thomassin JM, "Endoscopic ear surgery. Initial evaluation", Ann Otolaryngol Chir Cervicofac, 107, pp.564~570 (1990)
- Karhuketo TS, "Endoscopy and otomicroscopy in the estimation of middle ear structures", Acta Otolaryngol, 117, pp.585~589 (1997)
- Karhuketo TS, "Endoscopy of the middle ear structures", Acta Otolaryngol Suppl, 529, pp.34~39 (1997)
- 최나연, "Comparison of Endoscopic Tympanoplasty to Microscopic Tympanoplasty", Clinical and Experimental Otorhinolaryngology, 10(1), pp.44~49 (2017), 대한이비인후과학회[DOI]
- Kuo CH, "Comparison of endoscopic and microscopic tympanoplasty", Eur Arch Otorhinolaryngol, 274, pp.2727~2732 (2017)
- Lade H, "Endoscopic vs microscopic myringoplasty: a different perspective", Eur Arch Otorhinolaryngol, 271, pp.1897~1902 (2014)
- Ghanem MA, "Butterfly cartilage graft inlay tympanoplasty for large perforations", Laryngoscope, 116, pp.1813~1816 (2006)
- Kim HJ, "Functional and practical outcomes of inlay butterfly cartilage tympanoplasty", Otol Neurotol, 35, pp.1458~1462 (2014)
- Özgür A, "Endoscopic butterfly cartilage myringoplasty", Acta Otolaryngol, 136, pp.144~148 (2016)
- Akyigit A, "Endoscopic cartilage butterfly myringoplasty in children", Auris Nasus Larynx, 44, pp.152~155 (2017)
- Lubianca-Neto JF, "Inlay butterfly cartilage tympanoplasty (Eavey technique) modified for adults", Otolaryngol Head Neck Surg, 123, pp.492~494 (2000)
- Dornhoffer JL, "Hearing results with cartilage tympanoplasty", Laryngoscope, 107, pp.1094~1099 (1997)
- Gerber MJ, "Hearing results after primary cartilage tympanoplasty", Laryngoscope, 110, pp.1994~1999 (2000)