Firat University Faculty of Medicine, Department of ENT, Elazig, Turkey.
Firat University Faculty of Medicine, Department of ENT, Elazig, Turkey.
Auris Nasus Larynx. 2023 Dec;50(6):854-858. doi: 10.1016/j.anl.2023.03.005. Epub 2023 Apr 5.
Butterfly inlay myringoplasty is a simple and practical surgical technique used in the repair of tympanic membrane perforation offering good outcomes in terms of hearing. The present study evaluates the effects of myringosclerosis on the success of surgery by reviewing demographic data, perforation size and hearing outcomes of patients undergoing endoscopic inlay butterfly myringoplasty due to chronic otitis media.
The study included 75 patients who underwent endoscopic inlay butterfly myringoplasty with the diagnosis of chronic suppurative otitis media in the Department of Otorhinolaryngology at Fırat University Faculty of Medicine between March 2018 and July 2021. The patients were divided into three groups as the following. Group I: Patients without a myringosclerotic focus in the neighborhood of tympanic membrane perforation, Group II: Patients with a less than 50% myringosclerotic focus in the neighborhood of tympanic membrane, and Group III: Patients with a more than 50% myringosclerotic focus in the neighborhood of tympanic membrane.
The comparison of all preoperative and postoperative parameters and the reduction in air-bone gap between the groups did not show statistically significant difference (p>0.05). The comparison of air-bone gaps between preoperative and postoperative measurements showed a statistically significant difference in all groups (p<0.05). The grafting success rate was 100% in Group I, 96.4% in Group II, and 95.6% in Group III. The mean operation time was 28.57±2.54 min in Group I, 32.14±2.44 min in Group II, and 30.69±3.43 in Group III; there was a statistically significant difference only between Group I and Group II (p = 0.001).
The graft success rate and hearing gain in patients with myringosclerosis were similar to those in patients without myringosclerosis. Therefore, butterfly inlay myringoplasty is applicable to patients with chronic otitis media regardless of the presence or absence of myringosclerosis.
蝶形嵌入鼓膜成形术是一种简单实用的手术技术，用于修复鼓膜穿孔，在听力方面效果良好。本研究通过回顾因慢性中耳炎而行内镜下蝶形嵌入鼓膜成形术的患者的人口统计学数据、穿孔大小和听力结果，评估鼓膜硬化症对手术成功率的影响。
本研究纳入了 2018 年 3 月至 2021 年 7 月在费拉特大学医学院耳鼻喉科接受内镜下蝶形嵌入鼓膜成形术的 75 例慢性化脓性中耳炎患者。将患者分为三组：I 组：鼓膜穿孔周围无鼓膜硬化灶；II 组：鼓膜穿孔周围鼓膜硬化灶小于 50%；III 组：鼓膜穿孔周围鼓膜硬化灶大于 50%。
各组间所有术前和术后参数以及气骨导差的降低均无统计学差异（p>0.05）。所有组的气骨导差术前与术后测量值的比较均有统计学差异（p<0.05）。I 组的植骨成功率为 100%，II 组为 96.4%，III 组为 95.6%。I 组的平均手术时间为 28.57±2.54 min，II 组为 32.14±2.44 min，III 组为 30.69±3.43 min；仅 I 组和 II 组之间有统计学差异（p=0.001）。
有鼓膜硬化症的患者的植骨成功率和听力提高与无鼓膜硬化症的患者相似。因此，蝶形嵌入鼓膜成形术适用于慢性中耳炎患者，无论是否存在鼓膜硬化症。
