Bilateral same-day surgery for bilateral perforated chronic otitis media: Inlay butterfly cartilage myringoplasty

Conventional bilateral same-day tympanoplasty or myringoplasty has been rarely performed because of the risk of postoperative complications. Inlay butterfly cartilage myringoplasty (IBCM) has been shown effective for same-day closure of bilateral tympanic membrane perforations and is a quicker and m...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2010-11, Vol.143 (5), p.669-672
Main Authors: Yu, Myeong Sang, Yoon, Tae Hyun
Format: Article
Language:English
Subjects:
Adolescent
Adult
Audiometry
Child
Chronic Disease
Ear Cartilage - transplantation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myringoplasty - methods
Otitis Media - complications
Otitis Media - diagnosis
Otitis Media - surgery
Otoscopy
Retrospective Studies
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Tympanic Membrane Perforation - diagnosis
Tympanic Membrane Perforation - etiology
Tympanic Membrane Perforation - surgery
Young Adult
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Summary:Conventional bilateral same-day tympanoplasty or myringoplasty has been rarely performed because of the risk of postoperative complications. Inlay butterfly cartilage myringoplasty (IBCM) has been shown effective for same-day closure of bilateral tympanic membrane perforations and is a quicker and more comfortable procedure for the patient. Immediate postoperative hearing is not compromised by packing materials because no external canal packing or middle ear support is required. We assessed the efficacy and safety of bilateral same day IBCM. Case series with chart review. Tertiary referral center. Of the 81 patients (age range, 9-64 years) who underwent conventional tympanoplasty/mastoidectomy for bilateral perforated chronic otitis media between June 2005 and September 2009, 17 with small-to-medium perforations and no history of otorrhea underwent same-day cartilage IBCM on the contralateral ear. Median follow-up duration was 13.0 months. The graft take rate was 100 percent, with no retraction pockets or displaced grafts observed during follow-up. Mean air−bone gap was improved from 15.8 to 8.4 dB. Twelve patients had an average air−bone gap between 0 and 10 dB, three between 11 and 20 dB, and two between 21 and 30 dB. Two patients had myringitis postoperatively, but it improved with antibiotic treatment. Bilateral same-day IBCM offers favorable outcomes in selected patients.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2010.07.013