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o Issue N# 2 - 2012 o

OTOLOGY

Modified butterfly cartilage tympanoplasty: Retros­pec­tive study on 26 patients


Authors : Belhossine I, Pezzettigotta S, Genty E, Erminy M, Lecanu JB. (Paris)

Ref. : Rev Laryngol Otol Rhinol. 2012;133,2:77-80.

Article published in french
Downloadable PDF document french



Summary : Objective: To assess the results of inlay butterfly tympano­plasty on dry perforation. Study design: Retrospective case study. Patients: 26 patient (14 male, 12 female), mean age 38 years, ranged from 9 to 73. Mean follow up: 20 months. Surgery: Inlay cartilage butterfly tympanoplasty performed under general or local anesthesia according to the technique originally described by Eavey, with our specific modifications (use of a dermatological punch). Results: 92.3% of perforation closure was obtained; 2 residual perforations and 1 non-epithelialisation were observed. No iatrogenic cholesteatoma was observed. The mean preoperative to post operative four-tone air bone gap improved from 27.67 to 20.1 (mean gain 7.5). Conclusion: Inlay butterfly cartilage tympanoplasty is a safe, efficient and easy technique. This technique need more prospec­tive evaluation, and its place among other techniques of tympa­no­plasty needs to be precised.

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