Department of Otorhinolaryngology, Faculty of Medicine, Recep Tayyip Erdogan University, Sehitler Street, No:74, Rize, Turkey.
Eur Arch Otorhinolaryngol. 2019 Oct;276(10):2791-2795. doi: 10.1007/s00405-019-05579-2. Epub 2019 Jul 25.
Nowadays, the use of otoendoscopy is becoming increasingly popular in ear surgery. Data on endoscopic tympanoplasty are quite current but not yet sufficient. This study aims to present the anatomical and functional results of endoscopic butterfly inlay myringoplasty in large perforations.
The graft success rates and audiological outcomes of 26 ears of 23 patients who underwent endoscopic cartilage inlay myringoplasty due to large perforation (more than two-thirds of the area of tympanic membrane) from March 2016 to August 2018 were evaluated.
The mean follow-up period was 13.3 ± 7.1 (6-32) months. Graft success rate was 96% (25/26 ears). The preoperative mean air-bone gap (ABG) was 21.4 dB and postoperative mean was 14.4 dB. Significant improvement was observed in postoperative air-bone gap values compared to preoperative period (p 0.005).
Endoscopic inlay butterfly myringoplasty is a safe surgical technique and has satisfactory anatomic and audiological outcomes in large tympanic perforations.
如今，耳科手术中越来越多地使用耳内镜。关于内镜鼓膜成形术的数据相当新，但还不够充分。本研究旨在介绍内镜蝶形软骨嵌片鼓膜成形术治疗大穿孔的解剖和功能结果。
评估 2016 年 3 月至 2018 年 8 月期间因大穿孔（超过鼓膜面积的三分之二）而行内镜软骨嵌片鼓膜成形术的 23 例患者 26 耳的移植物成功率和听力结果。
平均随访时间为 13.3±7.1（6-32）个月。移植物成功率为 96%（25/26 耳）。术前平均气骨导差（ABG）为 21.4dB，术后平均为 14.4dB。与术前相比，术后气骨导差值有显著改善（p<0.005）。
内镜嵌片蝶形鼓膜成形术是一种安全的手术技术，对于大的鼓膜穿孔具有满意的解剖和听力结果。
