Endoscopic Butterfly Myringoplasty: Comparison of Tragal Cartilage Graft and Dermal Allograft.

IF 2.2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Laryngoscope Pub Date : 2025-03-13 DOI:10.1002/lary.32085

Seok-Hyun Kim, Hyun-Taek Jeong, In-Seok Moon, Il-Woo Lee

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引用次数: 0

Abstract

Objectives: Tympanic membrane perforation (TMP) is a common reason for visits to otolaryngology clinics. For decades, various surgical methods and grafts have been employed to treat TMP. This study aimed to compare the efficacy of tragal cartilage grafts (TCG) and dermal allografts (DAG) in myringoplasty for treating TMP.

Methods: We retrospectively analyzed 80 patients who underwent endoscopic butterfly inlay myringoplasty between 2019 and 2022. The patients were divided into two groups based on the graft material used: TCG (n = 40) and DAG (n = 40). We compared preoperative and postoperative hearing results and surgical outcomes between the two groups.

Results: Both the TCG and DAG groups demonstrated significant postoperative improvements in hearing. The air-bone gap decreased from 11.87 to 7.74 dB in the TCG group (p = 0.01) and from 13.6 to 8.96 dB in the DAG group (p = 0.013). Similarly, the low-tone average improved significantly: from 40.49 to 25.26 dB in the TCG group (p < 0.001) and from 38.33 to 25.15 dB in the DAG group (p < 0.001). The graft closure rates were comparable at 97.5% for TCG and 92.5% for DAG, indicating that both procedures are effective and similar in efficacy. However, the TCG group required more follow-up visits (average of 4 vs. 2.6 for DAG).

Conclusions: Both TCG and DAG techniques demonstrated comparable efficacy in terms of graft success rates and hearing improvement, with no significant differences in postoperative complications.

Level of evidence: 3:

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内窥镜蝴蝶鼓膜成形术：耳屏软骨移植与同种异体真皮移植的比较。

目的：鼓膜穿孔是耳鼻喉科门诊就诊的常见原因。几十年来，各种手术方法和移植物被用于治疗TMP。本研究旨在比较耳膜成形术治疗TMP的耳膜软骨移植（TCG）和真皮同种异体移植（DAG）的疗效。方法：我们回顾性分析了2019年至2022年间接受内窥镜蝶状嵌体鼓膜成形术的80例患者。根据移植材料的不同将患者分为TCG组（n = 40）和DAG组（n = 40）。我们比较了两组患者术前和术后的听力结果和手术结果。结果：TCG组和DAG组术后听力均有明显改善。TCG组气骨间隙由11.87降至7.74 dB (p = 0.01)， DAG组由13.6降至8.96 dB （p = 0.013）。同样，TCG组的低音调平均值也有显著改善：从40.49 dB到25.26 dB (p)。结论：TCG和DAG技术在移植物成功率和听力改善方面表现出相当的疗效，术后并发症无显著差异。证据等级：3；

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来源期刊

Laryngoscope 医学-耳鼻喉科学

CiteScore

6.50

自引率

7.70%

发文量

500

审稿时长

2-4 weeks

期刊介绍： The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects