Clinical efficacy of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique for small-to-medium tympanic membrane perforations: a retrospective study.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI:10.1017/S0022215125000283

Chao Ji, Fei-Fei Xu

{"title":"Clinical efficacy of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique for small-to-medium tympanic membrane perforations: a retrospective study.","authors":"Chao Ji, Fei-Fei Xu","doi":"10.1017/S0022215125000283","DOIUrl":null,"url":null,"abstract":"Objective: To evaluate the efficacy and safety of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique versus the gelatine sponge packing method for small-medium tympanic membrane perforations.Methods: A retrospective analysis of 68 patients (39 air-filled chamber, 29 gelatine sponge) treated between January 2020 and September 2024. Pre- and post-operative assessments included pure tone audiometry, air-bone gap, tympanic membrane healing, and visual analogue scale scores.Results: Healing rates were similar (89.7 per cent vs 93.1 per cent, p = 0.959). At six months, pure tone audiometry and air-bone gap improvements were comparable (p > 0.05). At one month, the air-filled chamber group showed better hearing recovery (pure tone audiometry: 19.71 vs 24.27 dB HL; air-bone gap: 7.28 vs 12.28 dB HL; both p < 0.05) and lower pain scores (1.13 vs 1.59, p = 0.022). Complications and operative times were similar.Conclusion: The air-filled chamber technique is a safe and effective alternative, offering superior early hearing recovery, reduced discomfort, and comparable long-term outcomes to the gelatine sponge method.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"757-763"},"PeriodicalIF":0.8000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Laryngology and Otology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S0022215125000283","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To evaluate the efficacy and safety of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique versus the gelatine sponge packing method for small-medium tympanic membrane perforations.

Methods: A retrospective analysis of 68 patients (39 air-filled chamber, 29 gelatine sponge) treated between January 2020 and September 2024. Pre- and post-operative assessments included pure tone audiometry, air-bone gap, tympanic membrane healing, and visual analogue scale scores.

Results: Healing rates were similar (89.7 per cent vs 93.1 per cent, p = 0.959). At six months, pure tone audiometry and air-bone gap improvements were comparable (p > 0.05). At one month, the air-filled chamber group showed better hearing recovery (pure tone audiometry: 19.71 vs 24.27 dB HL; air-bone gap: 7.28 vs 12.28 dB HL; both p < 0.05) and lower pain scores (1.13 vs 1.59, p = 0.022). Complications and operative times were similar.

Conclusion: The air-filled chamber technique is a safe and effective alternative, offering superior early hearing recovery, reduced discomfort, and comparable long-term outcomes to the gelatine sponge method.

查看原文本刊更多论文

哑铃形耳膜软骨-软骨膜充气腔技术治疗中小鼓膜穿孔的临床疗效回顾性研究。

目的：比较哑铃形耳膜-软骨膜充气腔技术与明胶海绵填塞法治疗中小鼓膜穿孔的疗效和安全性。方法：回顾性分析2020年1月至2024年9月收治的68例患者（其中充气腔39例，明胶海绵29例）。术前和术后评估包括纯音听力学、气骨间隙、鼓膜愈合和视觉模拟评分。结果：两组愈合率相近（89.7% vs 93.1%, p = 0.959）。6个月时，纯音听力和气骨间隙的改善具有可比性（p < 0.05）。1个月时，充气室组听力恢复较好(纯音听力：19.71 vs 24.27 dB HL；气骨间隙：7.28 vs 12.28 dB HL；p < 0.05)和较低的疼痛评分（1.13 vs 1.59, p = 0.022）。并发症及手术时间相似。结论：充气腔技术是一种安全有效的替代方法，具有早期听力恢复的优势，减少了不适，长期效果与明胶海绵方法相当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.