OBJECTIVES/HYPOTHESIS The inlay "butterfly" cartilage tympanoplasty was first described as a treatment for small, central ear drum perforations. This technique can also be applied in large, marginal perforations, whereas the cartilage graft is anchored on the bony annulus. The aim of this study was to present the technique, to evaluate the results of butterfly tympanoplasty in marginal perforat...

1. Children are more prone to frequent upper respiratory tract infection leading to re-perforation. 2. Many perforations which may heal spontaneously in future. 3. e external auditory meatus is narrow which make the surgical procedure very difficult. 4. e eustachain tube may not be fully developed or functional which may adversely affect the result. Similarly quite a few surgeons advocate in ...

Tympanoplasty now frequently uses cartilage to repair bone lysis in the external auditory canal (EAC) and to reinforce the tympanic membrane. Once in place, however, the cartilage may complicate ossiculoplasty by obstructing visualization of the stapedial region. Posterior tympanotomy, when included in the tympanoplasty procedure, may provide an interesting means of positioning the ossiculoplasty.

BACKGROUND Tympanoplasty in children is a current and controversial theme. The success of tympanoplasty traditionally has been measured only by the post-operative integrity of the graft. Yet, there are other variables that may be used to determine success. The objectives of the present work were to analyze which factors are predictive of successful tympanoplasty in pediatric patients and to con...

BACKGROUND Nausea and vomiting are common complications of anesthesia and surgery. Patients undergoing tympanoplasty are exposed to a higher risk of postoperative nausea vomiting (PONV). These complications may alter the results of reconstruction and anatomical alignments. Numerous antiemetics have been studied to prevent and treat PONV in patients undergoing tympanoplasty. The aim of this stud...

Highligts A-Conditions for a good surgical approach A natural pathway should be used, taking advantage of this natural space to obtain access to the anatomical structures, without having to create a further surgical additional space. The approach should be as simple and direct as posssible. Healthy tissue should be respected to a maximum and further lesions should not be caused, beyond those ca...

BACKGROUND The atelectatic tympanic membrane poses a significant (and age old) management challenge. Although often without sequelae, the under-ventilated middle ear and retracted drum can progress to ossicular erosion, hearing loss, or cholesteatoma formation. Management of this problem remains difficult given that the etiology of the atelectatic membrane is not completely understood. It is un...

OBJECTIVES This study aimed to compare the outcome of endoscopic and microscopic tympanoplasty. METHODS This was a retrospective comparative study of 73 patients (35 males and 38 females) who underwent type I tympanoplasty at Samsung Medical Center from April to December 2014. The subjects were classified into two groups; endoscopic tympanoplasty (ET, n=25), microscopic tympanoplasty (MT, n=4...

Background: Tympanoplasty is a widely performed surgery for the repair of tympanic membrane perforation. Aim study: to compare auditory and anatomical outcomes between two different techniques in tympanoplasty: first with temporalis facia graft + new “cubism” other alone. Patients methods: A prospective, randomized study was conducted Otorhinolaryngology Head Neck Surgery Department, Al-Azhar U...

INTRODUCTION Same-day closure of bilateral tympanic membrane perforations is a quick and more comfortable procedure for the patients. However, conventional bilateral same-day tympanoplasty or myringoplasty has been rarely performed because of the theoretical risk of postoperative complications. OBJECTIVE To evaluate the advantages and outcomes of bilateral simultaneous endoscopic cartilage ty...