Abstract
Butterfly graft inlay tympanoplasty is a well-established technique for the repair of small- and medium-sized perforations. There are some difficulties with application of conventional butterfly technique and it affects our success rate of graft healing. With some modifications of graft preparation we can make better success rates. The aim of this study was to present the new renovation of conventional method, describe about what kind of changes we made and its technical facilities about the procedure. The study design is a prospective case series. This study was carried out on 18 patients who underwent inlay butterfly cartilage tympanoplasty with the new technique for anterior and inferior perforations at an otolaryngology department of a tertiary medical center between November 2015 and August 2016. Patients were followed with otoscopy and audiometry, and graft healing’s success. Anatomic closure at 6th month after tympanoplasty was found in all 18 patients. There was no incidence of cartilage graft rejection or displacement. Preoperative mean PTA was 27.7 dB, which improved 6 months after surgery to 10.5 dB (the average value of hearing thresholds at 0.5, 1, 2 and 4 kHz). Butterfly cartilage tympanoplasty technique is safe and efficient in terms of both anatomical closure of the defect and improvement in hearing. We believe with this new technique, we facilitate this procedure in addition to the improvement of patients’ comfort and decrease the morbidity of the procedure.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Zollner F (1955) The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol 69:567–569
Wullstein H (1956) Theory and practice of tympanoplasty. Laryngoscope 66:1076–1093
Kim HJ, Kim MJ, Jeon JH, Kim JM, Moon IS, Lee WS (2014) Functional and practical outcomes of inlay butterfly cartilage tympanoplasty. Otol Neurotol 35(8):1458–1462. doi:10.1097/MAO.0000000000000419
Eavey RD (1998) Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope 108:657–661
Nardone M, Sommerville R, Bowman J, Danesi G (2012) Myringoplasty in simple chronic otitis media: critical analysis of long-term results in a 1000-adult patient series. Otol Neurotol 33:48–53
Ghanem MA, Monroy A, Alizade FS et al (2006) Butterfly cartilage graft inlay tympanoplasty for large perforations. Laryngoscope 116:1813–1816
Alain H, Esmat NH, Ohad H, Yona V, Nageris BI (2016) Butterfly myringoplasty for total, subtotal, and annular perforations. Laryngoscope 126(11):2565–2568
Jiang H, Zhang Z (2014) Cartilage tends to be a better choice than temporalis fascia for tympanoplasty under the circumstance of eustachian tube dysfunction. Ann Otolaryngol Rhinol 1(3):1013
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None of the authors has declared any conflict of interest (financial or non-financial) from being named as an author on the manuscript.
Rights and permissions
About this article
Cite this article
Kaya, I., Benzer, M., Gode, S. et al. Butterfly cartilage tympanoplasty: an alternative new technique instead of conventional surgery method. Eur Arch Otorhinolaryngol 274, 3311–3314 (2017). https://doi.org/10.1007/s00405-017-4645-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-017-4645-1