Endoscopic transcanal butterfly cartilage myringoplasty outcome; which parameters affect long-term results?

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2025-01-29 DOI:10.1080/00016489.2025.2457404

Ünal Gökalp Işık, Ömer Tarık Selçuk, Gamze Öztürk Yılmaz, Hande Konşuk Ünlü, Erdem Atalay Çetinkaya, Hülya Eyigör

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引用次数: 0

Abstract

Background: Endoscopic transcanal butterfly cartilage myringoplasty is a prominent procedure because surgeons can perform this operation without elevating the transmeatal flap.

Objective: To evaluate factors that affect endoscopic butterfly cartilage myringoplasty regarding graft success and hearing improvement and determine long-term outcomes.

Materials and methods: This study included 86 patients who underwent surgery. The rates of graft success and hearing improvement were investigated, together with the effects of sex, age, operated side, and size and location of the perforation.

Results: The overall graft success was 83.7%. There was a statistically significant difference between pre- and post-operation in terms of hearing improvements at 0.5, 1, and 2 kHz (p < 0.001). Sex, age, operative side, and perforation size did not significantly affect graft success or hearing improvement (p > 0.05). The perforation location was significantly associated with graft success (p < 0.05). However, the location of the perforation did not significantly affect hearing improvement (p > 0.05).

Conclusions: Endoscopic transcanal butterfly cartilage myringoplasty can be performed with a high graft success rate and improved hearing. However, surgeons should be more careful when treating patients with posterior perforations.

Significance: The location of the perforation is significantly related to graft success.

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经鼻内镜蝶软骨鼓膜成形术效果；哪些参数会影响长期结果？

背景：内镜下经扫描蝶软骨鼓膜成形术是一种重要的手术，因为外科医生可以在不抬高经颅皮瓣的情况下进行该手术。目的：探讨影响内镜下蝴蝶软骨鼓膜成形术成功和听力改善的因素，并确定远期疗效。材料与方法：本研究纳入86例手术患者。研究了移植成功率和听力改善率，以及性别、年龄、手术侧、穿孔大小和位置的影响。结果：总移植成功率为83.7%。术前与术后在0.5、1、2 kHz时的听力改善差异有统计学意义（p < 0.05）。穿孔位置与移植成功率显著相关（p p > 0.05）。结论：经鼻内镜行蝶软骨鼓膜成形术，移植成功率高，听力改善。然而，外科医生在治疗后孔患者时应更加小心。意义：穿孔的位置与移植成功有显著关系。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

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.