Evaluating butterfly inlay tympanoplasty
| Autor: | Michael S. Weinstock, John Bent, James A. Leonard, Ryan S. Ference |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Adolescent medicine.medical_treatment Perforation (oil well) Operative Time 03 medical and health sciences 0302 clinical medicine Tympanoplasty Otology 030225 pediatrics Myringoplasty medicine Humans 030223 otorhinolaryngology Retrospective Studies Inlay Tympanic Membrane Perforation business.industry Hearing Tests Retrospective cohort study Mean age General Medicine Plastic Surgery Procedures Surgery Treatment Outcome Otorhinolaryngology Pediatrics Perinatology and Child Health Operative time business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 127 |
| ISSN: | 1872-8464 |
| Popis: | To compare closure rate, reduction in air-bone-gap, and operative time of butterfly tympanoplasty (BT) to underlay tympanoplasty (UT).Retrospective cohort study of children (age18y) undergoing Type I tympanoplasty between 2009 and 2017. Patients were excluded if they had6 months of follow up, mastoidectomy, fat graft or cholesteatoma.Twenty-one patients (mean age 13.4) underwent BT while forty-one patients (mean age 13.5) underwent UT. The mean size of perforation in 30.6% in BT patients and 43.6% in UT patients (p = 0.01). Preoperative audiogram showed a similar air-bone-gap between the two groups of 31.7, 22.7, and 17.9 dB in BT vs 29.6, 24.8, and 17.6 dB in UT at 500, 1000, and 2000 Hz, respectively (p = 0.65, 0.63, and 0.94). Operative time was reduced in BT as compared to UT (94.0 min vs. 150.9, p = 0.01). Closure rate was similar at 85.7% in BT vs 75.6% in UT patients (p = 0.40). Average reductions in air-bone gap were similar with 19.2, 11.7, and 13.2 dB for BT vs 16.6, 12.1, and 10.3 dB for UT at 500, 1000, and 2000 hz, respectively (p = 0.66, 0.93, 0.40).BT has become a reliable tool for the pediatric otolaryngologist. This retrospective study shows that pediatric BT results in similar outcomes with reduced operative time. |
| Databáze: | OpenAIRE |
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