Yun Ji Min, Kim Dachan, Nam Ju Yun, Son Eun Jin, Moon In Seok, Bae Seong Hoon
Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Otolaryngol Head Neck Surg. 2025 Apr;172(4):1357-1363. doi: 10.1002/ohn.1098. Epub 2024 Dec 30.
The butterfly cartilage inlay technique was originally developed for repairing small tympanic membrane (TM) perforations but is now increasingly used for repairing large TM perforations. Although studies have evaluated the effectiveness of butterfly tympanoplasty for repairing medium-to-large-sized TM perforations, no study has compared its effectiveness with that of the conventional underlay cartilage technique. Therefore, we aimed to evaluate the effectiveness of butterfly tympanoplasty for repairing medium-to-large-sized TM perforations compared with that of the conventional underlay cartilage.
Retrospective chart review.
This retrospective study analyzed patients treated for medium-to-large-sized TM perforations at a tertiary medical center between January 2017 and July 2024.
We compared the outcomes of butterfly cartilage tympanoplasty with those of the conventional underlay technique, focusing on graft success rate, postoperative hearing outcomes, perioperative complications, and operating time. TM perforation sizes were precisely measured using the ImageJ software.
Among a total of 52 patients, 28 underwent butterfly tympanoplasty and 24 underwent underlay tympanoplasty. Both techniques showed comparable graft success rates (butterfly technique, 92.9%; underlay technique, 83.3%) and minimal perioperative complications. The butterfly technique had a significantly shorter operating time compared with that of underlay tympanoplasty and was performed under local anesthesia. Both groups showed a significant postoperative air-bone gap (ABG) reduction, with no significant difference in the ABG improvement.
The butterfly technique is effective for medium-to-large-sized TM perforations, offering comparable outcomes to the conventional underlay technique, with the advantages of reduced operating time and the use of only local anesthesia.
蝶形软骨嵌入技术最初是为修复小鼓膜穿孔而开发的，但现在越来越多地用于修复大鼓膜穿孔。尽管已有研究评估了蝶形鼓室成形术修复中至大型鼓膜穿孔的有效性，但尚无研究将其有效性与传统的衬里软骨技术进行比较。因此，我们旨在评估蝶形鼓室成形术与传统衬里软骨技术相比修复中至大型鼓膜穿孔的有效性。
回顾性病历审查。
这项回顾性研究分析了2017年1月至2024年7月在一家三级医疗中心接受中至大型鼓膜穿孔治疗的患者。
我们比较了蝶形软骨鼓室成形术与传统衬里技术的结果，重点关注移植物成功率、术后听力结果、围手术期并发症和手术时间。使用ImageJ软件精确测量鼓膜穿孔大小。
在总共52例患者中，28例行蝶形鼓室成形术，24例行衬里鼓室成形术。两种技术的移植物成功率相当（蝶形技术为92.9%；衬里技术为83.3%），围手术期并发症极少。与衬里鼓室成形术相比，蝶形技术的手术时间明显更短，且在局部麻醉下进行。两组术后气骨导间距（ABG）均显著降低，ABG改善情况无显著差异。
蝶形技术对中至大型鼓膜穿孔有效，与传统衬里技术的效果相当，具有手术时间缩短和仅使用局部麻醉的优点。
