Clin Exp Otorhinolaryngol.  2015 Dec;8(4):359-363. 10.3342/ceo.2015.8.4.359.

Comparison of Short- and Long-term Hearing Outcomes of Successful Inlay Cartilage Tympanoplasty Between Small and Large Eardrum Perforations

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan.
  • 2Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan.
  • 3Department of Otolaryngology, Sijhih Cathay General Hospital, New Taipei City, Taiwan.
  • 4Fu-Jen Catholic University School of Medicine, New Taipei City, Taiwan.
  • 5Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan. agar@adm.cgmh.org.tw

Abstract


OBJECTIVES
To compare the short- and long-term hearing outcomes after successful inlay cartilage tympanoplasty between patients with small (< or =25%) and large (> or =50%) eardrums perforations.
METHODS
This is a retrospective case series study conducted in a tertiary referral center. Twenty-five patients who underwent 27 procedures were enrolled. Their mean age was 60.26 years (range, 42 to 76 years). The mean follow-up time was 18.86 months (range, 12.30 to 35.83 months). The preoperative, initial postoperative, and long-term hearing results in patients with total repair of the eardrum were analyzed.
RESULTS
In the small size group, the average (+/-standard deviation) air-bone gap (ABG) closure was 1.08+/-7.53 dB in the short-term and 2.33+/-11.56 dB in the long-term hearing examinations. There was no difference between short- and long-term ABG closure (P=0.689). In the large size group, the average ABG closure was 9.77+/-9.40 dB in the short-term and 16.25+/-6.01 dB in the long-term hearing examinations. There was a significant difference between short- and long-term ABG closure (P=0.029).
CONCLUSION
Patients with large perforations have continuous hearing improvement and ABG closure for more than one year. In contrast, the short- and long-term postoperative ABGs are almost the same in patients with small perforations. More long-term postoperative follow-up of hearing results is necessary for large perforations.

Keyword

Hearing; Inlay Butterfly Cartilage; Air-Bone Gap; Tympanoplasty; Chronic Otitis Media

MeSH Terms

Cartilage*
Follow-Up Studies
Hearing*
Humans
Inlays*
Retrospective Studies
Tertiary Care Centers
Tympanic Membrane*
Tympanoplasty*

Figure

  • Fig. 1 Otoscope image of eardrum preoperatively (A), one month (B), and three months (C) postoperatively. Arrow indicates neovessel ingrowth on the outer surface of cartilage.

  • Fig. 2 The mean preoperative, postoperative short-term, and postoperative long-term air-bone gap. Preop, preoperative; Postop, postoperative; ABG, air-bone gap.

  • Fig. 3 The mean postoperative (postop) short- and long-term air-bone gap (ABG) closure after inlay cartilage tympanoplasty.

  • Fig. 4 Comparison of the mean preoperative, postoperative short-term, and postoperative long-term air-bone gap between patients with small and large eardrum perforations. Preop, preoperative; Postop, postoperative; ABG, air-bone gap.


Cited by  1 articles

Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations
Isa Kaya, Murat Benzer, Mustafa Uslu, Cem Bilgen, Tayfun Kirazli
Clin Exp Otorhinolaryngol. 2018;11(1):23-29.    doi: 10.21053/ceo.2017.00549.


Reference

1. Eavey RD. Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope. 1998; 5. 108(5):657–661. PMID: 9591541.
Article
2. Dornhoffer J. Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope. 2003; 11. 113(11):1844–1856. PMID: 14603038.
Article
3. Lubianca-Neto JF. Inlay butterfly cartilage tympanoplasty (Eavey technique) modified for adults. Otolaryngol Head Neck Surg. 2000; 10. 123(4):492–494. PMID: 11020192.
Article
4. Mauri M, Lubianca Neto JF, Fuchs SC. Evaluation of inlay butterfly cartilage tympanoplasty: a randomized clinical trial. Laryngoscope. 2001; 8. 111(8):1479–1485. PMID: 11568587.
Article
5. Anand TS, Kathuria G, Kumar S, Wadhwa V, Pradhan T. Butterfly inlay tympanoplasty: a study in Indian scenario. Indian J Otolaryngol Head Neck Surg. 2002; 1. 54(1):11–13. PMID: 23119843.
Article
6. Couloigner V, Baculard F, El Bakkouri W, Viala P, Francois M, Narcy P, et al. Inlay butterfly cartilage tympanoplasty in children. Otol Neurotol. 2005; 3. 26(2):247–251. PMID: 15793413.
Article
7. Ghanem MA, Monroy A, Alizade FS, Nicolau Y, Eavey RD. Butterfly cartilage graft inlay tympanoplasty for large perforations. Laryngoscope. 2006; 10. 116(10):1813–1816. PMID: 17003724.
Article
8. Mendes Neto JA, Neiva FC, Brodskyn F, Palumbo Md, Bittar AC, Petrilli RN, et al. Plug cartilage tympanoplasty in children. Braz J Otorhinolaryngol. 2008; Nov-Dec. 74(6):890–895. PMID: 19582346.
9. Lin YC, Wang WH, Weng HH, Lin YC. Predictors of surgical and hearing long-term results for inlay cartilage tympanoplasty. Arch Otolaryngol Head Neck Surg. 2011; 3. 137(3):215–219. PMID: 21422303.
Article
10. Hod R, Buda I, Hazan A, Nageris BI. Inlay "butterfly" cartilage tympanoplasty. Am J Otolaryngol. 2013; Jan-Feb. 34(1):41–43. PMID: 22975316.
Article
11. Wang WH, Lin YC. Minimally invasive inlay and underlay tympanoplasty. Am J Otolaryngol. 2008; Nov-Dec. 29(6):363–366. PMID: 19144295.
Article
12. Yu MS, Yoon TH. Bilateral same-day surgery for bilateral perforated chronic otitis media: Inlay butterfly cartilage myringoplasty. Otolaryngol Head Neck Surg. 2010; 11. 143(5):669–672. PMID: 20974337.
Article
13. Onal K, Arslanoglu S, Songu M, Demiray U, Demirpehlivan IA. Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media. J Laryngol Otol. 2012; 1. 126(1):22–25. PMID: 22032518.
Article
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