Inlay butterfly cartilage tympanoplasty in children. Export

@article{citeulike:2676161, abstract = {OBJECTIVE: To assess the results of inlay butterfly cartilage tympanoplasty in children. STUDY DESIGN: Before-and-after trial; follow-up duration, 26.6 +/- 19.9 months (mean +/- standard deviation). SETTING: Tertiary referral center. PATIENTS: Fifty-nine pediatric cases of tympanic membrane perforation. INTERVENTION: Inlay butterfly cartilage tympanoplasty was performed under general anesthesia according to the technique originally described by Eavey and modified by Lubianca-Neto (i.e., without any associated split-thickness skin graft). MAIN OUTCOME MEASURES: Percentage of perforation closures, surgical complications, preoperative and postoperative puretone hearing thresholds; the results of inlay butterfly cartilage tympanoplasty were compared with those obtained in a retrospective series of 29 underlay fascia temporalis myringoplasties. RESULTS: The 71\% "take rate" of inlay butterfly cartilage tympanoplasty was not significantly different from the 83\% take rate obtained with underlay fascia temporalis tympanoplasty (p = 0.23, chi test). The anatomic results were improved when the graft diameter was at least 2 mm larger than the size of the perforation (81\% take rate) (p = 0.009, chi test). No iatrogenic cholesteatoma was observed. Pure-tone hearing thresholds were improved at 0.5, 1, and 2 kHz, and stable at 4 kHz. Hearing levels were not different from those obtained with underlay fascia temporalis tympanoplasty. CONCLUSION: Inlay butterfly cartilage tympanoplasty is a safe, efficient, time-saving, and easy technique of tympanoplasty in children. Anatomic results may be improved by associating a split-thickness skin graft and/or by trimming a tragal graft much larger than the size of the perforation.}, address = {Department of Pediatric Otolaryngology and Head and Neck Surgery, H\^{o}pital Robert Debr\'{e}, AP-HP, Paris, France. vincent.couloigner@rbh.ap-hop-paris.fr}, author = {Couloigner, V. and Baculard, F. and El Bakkouri, W. and Viala, P. and Fran\c{c}ois, M. and Narcy, P. and Van Den Abbeele, T.}, citeulike-article-id = {2676161}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/15793413}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=15793413}, issn = {1531-7129}, journal = {Otology \& neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology}, keywords = {butterfly, cartilage, pediatric, tympanoplasty}, month = {March}, number = {2}, pages = {247--251}, posted-at = {2008-04-16 06:53:09}, priority = {2}, title = {Inlay butterfly cartilage tympanoplasty in children.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/15793413}, volume = {26}, year = {2005} }

TY - JOUR ID - citeulike:2676161 L3 - citeulike-article-id:2676161 N2 - OBJECTIVE: To assess the results of inlay butterfly cartilage tympanoplasty in children. STUDY DESIGN: Before-and-after trial; follow-up duration, 26.6 +/- 19.9 months (mean +/- standard deviation). SETTING: Tertiary referral center. PATIENTS: Fifty-nine pediatric cases of tympanic membrane perforation. INTERVENTION: Inlay butterfly cartilage tympanoplasty was performed under general anesthesia according to the technique originally described by Eavey and modified by Lubianca-Neto (i.e., without any associated split-thickness skin graft). MAIN OUTCOME MEASURES: Percentage of perforation closures, surgical complications, preoperative and postoperative puretone hearing thresholds; the results of inlay butterfly cartilage tympanoplasty were compared with those obtained in a retrospective series of 29 underlay fascia temporalis myringoplasties. RESULTS: The 71% "take rate" of inlay butterfly cartilage tympanoplasty was not significantly different from the 83% take rate obtained with underlay fascia temporalis tympanoplasty (p = 0.23, chi test). The anatomic results were improved when the graft diameter was at least 2 mm larger than the size of the perforation (81% take rate) (p = 0.009, chi test). No iatrogenic cholesteatoma was observed. Pure-tone hearing thresholds were improved at 0.5, 1, and 2 kHz, and stable at 4 kHz. Hearing levels were not different from those obtained with underlay fascia temporalis tympanoplasty. CONCLUSION: Inlay butterfly cartilage tympanoplasty is a safe, efficient, time-saving, and easy technique of tympanoplasty in children. Anatomic results may be improved by associating a split-thickness skin graft and/or by trimming a tragal graft much larger than the size of the perforation. IS - 2 JF - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology SN - 1531-7129 AD - Department of Pediatric Otolaryngology and Head and Neck Surgery, Hôpital Robert Debré, AP-HP, Paris, France. vincent.couloigner@rbh.ap-hop-paris.fr EP - 251 TI - Inlay butterfly cartilage tympanoplasty in children. VL - 26 SP - 247 KW - butterfly KW - cartilage KW - pediatric KW - tympanoplasty AU - Couloigner, V AU - Baculard, F AU - El Bakkouri, W AU - Viala, P AU - François, M AU - Narcy, P AU - Van Den Abbeele, T PY - 2005/03// UR - http://view.ncbi.nlm.nih.gov/pubmed/15793413 ER -