Endoscopic “Push-Trough” Technique Cartilage Myringoplasty in Anterior Tympanic Membrane Perforations

다국어 초록 (Multilingual Abstract)

Objectives. To evaluate endoscopic push-through technique cartilage myringoplasty results. Methods. This prospective study was performed on patients with anterior tympanic membrane perforations and endoscopic push-through technique cartilage myringoplasty was performed between 2011 and 2013. The patients who did not have any cholesteatoma or otorrhea in the previous 3 months, and had an air bone gap ≤25 dB in their preoperative audiograms were included in the study. They were followed up with endoscopic examination and audiograms at 2nd, 6th, 12th, and 24th postoperative months. Pure tone averages were calculated at 0.5, 1, 2, and 4 kHz frequencies. Results. Of 32 patients, 19 were females and 13 were males. The mean age was 40.3 years (range, 16 to 62 years), and the mean follow-up period was 12.4 months (range, 6 to 24 months). Graft success rate was 87.5% in this study. Preoperative mean air conduction hearing threshold was 25.9 dB, and the mean air-bone gap was 11.9 dB while these values improved to 19.5 dB and 5.3 dB respectively in the postoperative period. The mean hearing gain was 6.4 dB. The analysis of preoperative and postoperative mean air conduction thresholds and air bone gap values of the patients revealed statistically significant differences. Conclusion. Underlay cartilage myringoplasty with endoscopic push-through technique in anterior quadrant tympanic membrane perforations is an effective, minimally invasive and feasible method.

참고문헌 (Reference)

1 Karhuketo TS, "Tympanoscope-assisted myringoplasty" 63 (63): 353-357, 2001

2 Vartiainen E, "Success and pitfalls in myringoplasty: follow-up study of 404 cases" 14 (14): 301-305, 1993

3 Yung M, "Randomized study comparing fascia and cartilage grafts in myringoplasty" 120 (120): 535-541, 2011

4 Glasscock ME 3rd, "Postauricular undersurface tympanic membrane grafting: a follow-up report" 92 (92): 718-727, 1982

5 Nardone M, "Myringoplasty in simple chronic otitis media: critical analysis of long-term results in a 1,000-adult patient series" 33 (33): 48-53, 2012

6 Denoyelle F, "Myringoplasty in children: predictive factors of outcome" 109 (109): 47-51, 1999

7 Caylan R, "Myringoplasty in children: factors influencing surgical outcome" 118 (118): 709-713, 1998

8 Iacovou E, "Is cartilage better than temporalis muscle fascia in type I tympanoplasty? Implications for current surgical practice" 270 (270): 2803-2813, 2013

9 Couloigner V, "Inlay butterfly cartilage tympanoplasty in children" 26 (26): 247-251, 2005

10 Buckingham RA, "Fascia and perichondrium atrophy in tympanoplasty and recurrent middle ear atelectasis" 101 (101): 755-758, 1992

11 Patil RN, "Endoscopic tympanoplasty-definitely advantageous (preliminary repoerts)" 25 : 9-13, 2003

12 Raj A, "Endoscopic transcanal myringoplasty: a study" 53 (53): 47-49, 2001

13 el-Guindy A, "Endoscopic transcanal myringoplasty" 106 (106): 493-495, 1992

14 Tarabichi M, "Endoscopic transcanal middle ear surgery" 62 (62): 6-24, 2010

15 Tarabichi M, "Endoscopic middle ear surgery" 108 (108): 39-46, 1999

16 Yadav SP, "Endoscope-assisted myringoplasty" 50 (50): 510-512, 2009

17 Albirmawy OA, "Comparison between cartilage-perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children" 124 (124): 967-974, 2010

18 Ayache S, "Cartilaginous myringoplasty: the endoscopic transcanal procedure" 270 (270): 853-860, 2013

19 Yung M, "Cartilage tympanoplasty: literature review" 122 (122): 663-672, 2008

20 Dornhoffer JL, "Cartilage tympanoplasty" 39 (39): 1161-1176, 2006

21 Pfammatter A, "Can myringoplasty close the air-bone gap?" 34 (34): 705-710, 2013

22 Harugop AS, "A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty" 60 (60): 298-302, 2008

23 Zhang H, "A clinical research of endoscopic myringoplasty with modified sandwich technique" 26 (26): 293-294, 2012