Clinical Outcomes of Endoscopic Butterfly Inlay Cartilage Myringoplasty.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-08-01 Epub Date: 2024-07-02 DOI:10.1097/MAO.0000000000004234

Hye Ah Joo, Hyeon Chang Choi, Dong Kyu Lee, Joong Ho Ahn, Hong Ju Park, Jong Woo Chung, Woo Seok Kang

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引用次数: 0

Abstract

Objective: To review a 3-year case series of endoscopic butterfly inlay cartilage myringoplasty performed by a single surgeon (W.S.K.) and analyze the clinical surgical outcomes.

Study design: Retrospective study.

Setting: Tertiary care academic center.

Patients: We enrolled 60 ears with tympanic membrane (TM) perforation, receiving endoscopic inlay butterfly myringoplasty between 2019 and 2022.

Main outcomes and measures: We reviewed patients' demographics, size and location of TM perforation, operation time, complications, and postoperative pain evaluated by the numerical rating scale (NRS). We analyzed the graft uptake success rate in 5 weeks and the perforation closure rate in 4 months after surgery. We also compared the air-bone gap (ABG) before and after the surgery.

Results: Among the 60 ears included, the mean age was 57.0 years, and 78.3% (47 of 60) had small perforations. The average operation time was 48.9 ± 11.5 minutes, and the postoperative NRS was 2.0 ± 1.6. The immediate graft uptake success rate evaluated at postoperative 5 weeks was 96.7% (58 of 60), with myringitis occurring in three ears. Except for 11 patients lost to follow-up, the perforation closure rate evaluated at postoperative 4 months was 100% (49 of 49). The mean ABG significantly improved from preoperative status (8.87 ± 5.51 dB HL) to postoperative 4 months (6.22 ± 6.03 dB HL) ( p = 0.019).

Conclusions: A single surgeon's success rate for endoscopic butterfly inlay cartilage myringoplasty was almost 100%. This surgical procedure is safe and effective, with a high graft success rate.

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内窥镜蝶形软骨嵌体耳廓成形术的临床效果

研究目的回顾由一名外科医生（W.S.K.）实施的为期3年的内窥镜蝶形软骨镶嵌耳廓成形术的病例系列，并分析临床手术效果：研究设计：回顾性研究：患者2019年至2022年期间，我们招募了60名鼓膜（TM）穿孔的患者，接受了内镜下镶嵌式蝶形耳膜成形术：我们回顾了患者的人口统计学特征、鼓膜穿孔的大小和位置、手术时间、并发症和术后疼痛，并用数字评分量表（NRS）进行了评估。我们分析了术后 5 周的移植物吸收成功率和术后 4 个月的穿孔闭合率。我们还比较了手术前后的气骨间隙（ABG）：在纳入的 60 耳中，平均年龄为 57.0 岁，78.3%（60 耳中的 47 耳）有小穿孔。平均手术时间为 48.9 ± 11.5 分钟，术后 NRS 为 2.0 ± 1.6。术后 5 周评估的即刻移植成功率为 96.7%（60 例中有 58 例），其中有 3 只耳朵发生了耳膜炎。除 11 名失去随访的患者外，术后 4 个月的穿孔闭合率为 100%（49 人中有 49 人）。平均 ABG 从术前状态（8.87 ± 5.51 dB HL）到术后 4 个月（6.22 ± 6.03 dB HL）有明显改善（p = 0.019）：结论：单个外科医生进行内窥镜蝶形软骨耳廓成形术的成功率几乎达到 100%。该手术安全有效，移植成功率高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.