Butterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforations

dc.contributor.authorKaya, Ise
dc.contributor.authorBenzer, Murat
dc.contributor.authorUslu, Mustafa
dc.contributor.authorBilgen, Cenn
dc.contributor.authorKirazli, Tayfun
dc.date.accessioned2019-10-27T10:42:12Z
dc.date.available2019-10-27T10:42:12Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectives. The aim of this study was to evaluate and report the long-term results of the butterfly cartilage tympanoplasty. Short-term and long-term hearing outcomes were compared according to age and perforation location as well. Methods. Ninety-three patients who were diagnosed with noncomplicated chronic otitis media and underwent microscopic transcanal butterfly cartilage tympanoplasty due to anterior, posterior, and central tympanic membrane perforation were included. Age, gender, follow-up time, pre-and postoperative pure tone audiometry thresholds (both air and bone conduction), pre-and postoperative air-bone gaps (ABGs), if any residual perforation was noted. Results. At the end of the follow-up period, successful closure occurred in 88 of 93 patients and success rate is 94.6%. In all patients, including those with residual perforations, the mean preoperative bone conduction threshold was 15.9 dB (range, 5 to 50 dB) among all groups whereas mean air conduction threshold was 36.4 +/- 15.1 dB (range, 10 to 90 dB) preoperatively and 28.8 +/- 14.3 dB in 6th month follow-up and 24.9 +/- 14.1 dB 24th month follow-up. Preoperative mean ABG was 22.1 +/- 7.1 dB (range, 5 to 40 dB) whereas 13.3 +/- 5.9 dB 6 months after surgery and 11.9 +/- 5.5 dB 24 months after surgery. There was a significant difference between pre-and postoperative ABG in both 6th and 24th month follow-up (P-6 (mo-24) (mo) < 0.05). Furthermore, preoperative mean air conduction differed significantly from postoperative 6th and 24th month follow-up mean air conduction thresholds (P < 0.05). Conclusion. We suggested that butterfly cartilage tympanoplasty can be safely performed in small, moderate, and even large perforations, as the hearing outcomes and successful closure rate are similar to those of other surgical methods. Moreover, it can be performed under local anaesthesia and it has low complication rates.en_US
dc.identifier.doi10.21053/ceo.2017.00549en_US
dc.identifier.endpage29en_US
dc.identifier.issn1976-8710
dc.identifier.issn2005-0720
dc.identifier.issue1en_US
dc.identifier.pmid28797141en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage23en_US
dc.identifier.urihttps://doi.org/10.21053/ceo.2017.00549
dc.identifier.urihttps://hdl.handle.net/11454/30646
dc.identifier.volume11en_US
dc.identifier.wosWOS:000427449600004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKorean Soc Otorhinolaryngolen_US
dc.relation.ispartofClinical and Experimental Otorhinolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectButterflyen_US
dc.subjectTympanoplastyen_US
dc.subjectCartilageen_US
dc.subjectTympanic Membrane Perforationen_US
dc.subjectOtitis Mediaen_US
dc.titleButterfly Cartilage Tympanoplasty Long-term Results: Excellent Treatment Method in Small and Medium Sized Perforationsen_US
dc.typeArticleen_US

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