caa a22 4500 606185941 CHVBK 20210128100834.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00405-014-2889-6 doi (NATIONALLICENCE)springer-10.1007/s00405-014-2889-6 Inlay butterfly cartilage tympanoplasty in the treatment of dry central perforated chronic otitis media as an effective and time-saving procedure [Elektronische Daten] [Mehmet Haksever, Davut Akduman, Fevzi Solmaz, Ercan Gündoğdu] The aim of this study is to compare the inlay butterfly transcanal cartilage tympanoplasty with the conventional underlay tympanoplasty. Operation time, pre- and postoperative hearing levels, successful closure rate of tympanic membrane (take rate) and long-term re-perforation in dry perforated chronic otitis media were evaluated. The study design consists of case series with a chart review. The study settings are tertiary referral center. Of the 72 patients (age range 14-57years) with dry perforated chronic otitis media, 29 patients underwent inlay butterfly transcanal cartilage tympanoplasty (group 1) and 43 patients underwent conventional underlay tympanoplasty without mastoidectomy (group 2) between January 2010 and June 2012. The outcome measures were the duration of surgery, "take rate” at the 30th postoperative day and the audiometric results at the 45th postoperative day. Long-term re-perforation was evaluated at least postoperative 1year. The graft take rate was 96.5% in group 1 and 90.7% in group 2 at the 30th postoperative day (p>0.05). Mean air-bone gap was improved from 18.8±8.09 to 11.9±7.12dB in group 1 and from 21.9±7.32 to 11.6±8.43dB in group 2. The improvement of air-bone gap in both groups was statistically significant (p<0.05) but the improvement between the groups was not statistically significant (p>0.05). The average duration of the surgery was 29.9±5.38min for inlay tympanoplasty group and 58.9±12.1min for underlay tympanoplasty group (p<0.05). Two patients in group 2 had re-perforations after an initial take of the graft in 1-year follow-up period. Inlay butterfly transcanal cartilage tympanoplasty is a good choice in selected cases. Although this technique has the similar take rate and audiological results with conventional underlay tympanoplasty, it is a time-saving procedure. Springer-Verlag Berlin Heidelberg, 2014 Butterfly cartilage inlay tympanoplasty nationallicence Underlay tympanoplasty nationallicence Conductive hearing loss nationallicence Chronic otitis media nationallicence Haksever Mehmet Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut Akduman Davut Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut Solmaz Fevzi Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut Gündoğdu Ercan Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 867-872 0937-4477 272:4<867 2015 272 405 https://doi.org/10.1007/s00405-014-2889-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-2889-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Haksever Mehmet Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut NATIONALLICENCE 700 1- Akduman Davut Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut NATIONALLICENCE 700 1- Solmaz Fevzi Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut NATIONALLICENCE 700 1- Gündoğdu Ercan Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, Yıldırım, 16800, Bursa, Turkey aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 867-872 0937-4477 272:4<867 2015 272 405