Endoscopic butterfly cartilage myringoplasty: our long term results.

IF 1.2 4区 医学 Q3 OTORHINOLARYNGOLOGY
Acta Oto-Laryngologica Pub Date : 2025-02-01 Epub Date: 2025-01-13 DOI:10.1080/00016489.2025.2449598
Tuğba Yemiş, Mehmet Birinci, Metin Çeliker, Abdulkadir Özgür, Zerrin Özergin Coşkun, Oğuz Gül, Elif Ayten Tarakçı, Engin Dursun, Özlem Çelebi Erdivanlı
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引用次数: 0

Abstract

Background: Myringoplasty is one of the treatments used for perforated tympanic membrane.

Aim/objective: We aimed to evaluate the long-term anatomical and functional outcomes of patients who underwent endoscopic inlay butterfly cartilage myringoplasty.

Material and methods: We retrospectively analyzed 74 patients who had undergone endoscopic butterfly cartilage myringoplasty were followed for at least five years. The evaluation included age, sex, duration of follow-up, perforation location, size, preoperative and postoperative pure tone audiometry thresholds (years 2 and 5), air-bone gap, follow-up complications, and postoperative graft and tympanic membrane status.

Results: The study included 74 patients with a mean follow-up duration of 76.7 months (range: 60-125 months). The graft success rates were 89.1% at two years and 82.4% at five years postoperatively. There was a significant improvement in air conduction thresholds when comparing preoperative levels to those at two and five years postoperatively (p = 0.003). The air-bone gap showed a significant reduction from preoperative levels to those observed at two and five years postoperatively (p < 0.0001).

Conclusion and significance: Our study demonstrates that endoscopic butterfly cartilage myringoplasty is safe and effective for achieving long-term anatomical and functional success. We recommend extending the follow-up period to five years with additional annual assessments thereafter.

内窥镜蝴蝶软骨鼓膜成形术:我们的长期结果。
背景:鼓膜成形术是鼓膜穿孔的治疗方法之一。目的/目的:我们的目的是评估接受内窥镜镶嵌式蝴蝶软骨鼓膜成形术的患者的长期解剖和功能结果。材料和方法:我们回顾性分析74例行内窥镜蝶软骨鼓膜成形术的患者,随访时间至少5年。评估包括年龄、性别、随访时间、穿孔位置、大小、术前和术后纯音听力学阈值(2年和5年)、气骨间隙、随访并发症、术后移植物和鼓膜状态。结果:该研究纳入74例患者,平均随访时间为76.7个月(范围:60-125个月)。术后2年和5年移植成功率分别为89.1%和82.4%。与术后2年和5年相比,术前空气传导阈值有显著改善(p = 0.003)。与术后2年和5年相比,气骨间隙明显减小(p结论和意义:我们的研究表明,内窥镜下蝴蝶软骨鼓膜成形术对于实现长期解剖和功能成功是安全有效的。我们建议将后续行动期延长至五年,此后每年进行额外评估。
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
Acta Oto-Laryngologica
Acta Oto-Laryngologica 医学-耳鼻喉科学
CiteScore
2.50
自引率
0.00%
发文量
99
审稿时长
3-6 weeks
期刊介绍: Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.
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