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Endoscopic triple-C tympanoplasty: an alternative approach to anteriorly located tympanic membrane repair

Published online by Cambridge University Press:  31 October 2018

H Demirhan ,
Ö Yiğit ,
B Hamit  and
M Çakır
H Demirhan*
Affiliation:
Otorhinolaryngology Department, University of Health Sciences, Istanbul Training and Research Hospital, Turkey
Ö Yiğit
Affiliation:
Otorhinolaryngology Department, University of Health Sciences, Istanbul Training and Research Hospital, Turkey
B Hamit
Affiliation:
Otorhinolaryngology Department, Iskilip State Hospital, Çorum, Turkey
M Çakır
Affiliation:
Otorhinolaryngology Department, University of Health Sciences, Istanbul Training and Research Hospital, Turkey
*
Author for correspondence: Dr Hasan Demirhan, Sağlık Bilimleri Üniversitesi, İstanbul Egitim ve Arastirma Hastanesi, KBB Klinigi, Kasap İlyas Mah. Org. Abdurrahman Nafiz Gurman Cad, PK: 34098, Fatih – Istanbul, Turkey E-mail: hdemirhan23@hotmail.com
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Abstract

Objective

Anteriorly located tympanic membrane perforations can negatively affect surgical success rates. This study aimed to present, using our case series results, endoscopic triple-C (composite chondroperichondrial clip) tympanoplasty as an alternative method in the repair of tympanic membrane anterior quadrant perforations.

Methods

This study included patients with a perforation sized greater than 3 mm, who had an anterior quadrant dominant perforation where the anterior portion could not be seen during microscopic examination; all underwent endoscopic triple-C tympanoplasty.

Results

Operating time was 30–79 minutes (mean, 46.6 minutes). The post-operative graft success rate at six months was 92 per cent (23 out of 25). Mean post-operative follow-up duration was 21.5 ± 7.3 months (range, 11–40 months), and no intratympanic cholesteatoma was observed.

Conclusion

Endoscopic triple-C tympanoplasty is a comfortable, minimally invasive alternative method to repair anterior tympanic membrane perforations. The graft success rate and the degree of recovery from hearing loss were in accordance with the literature. However, more reliable results may be obtained in a larger series with longer follow-up times.

Keywords

Tympanic Membrane PerforationTympanic MembraneEndoscopyCartilageTympanoplastyInlays
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 11 , November 2018 , pp. 1007 - 1009
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr H Demirhan takes responsibility for the integrity of the content of the paper

References

1Iacovou, E, Vlastarakos, PV, Papacharalampous, G, Kyrodimos, E, Nikolopoulos, TP. Is cartilage better than temporalis muscle fascia in type I tympanoplasty? Implications for current surgical practice. Eur Arch Otorhinolaryngol 2013;270:2803–13Google Scholar
2Nardone, M, Sommerville, R, Bowman, J, Danesi, G. Myringoplasty in simple chronic otitis media: critical analysis of long-term results in a 1,000-adult patient series. Otol Neurotol 2012;33:48–53Google Scholar
3Potsic, WP, Winawer, MR, Marsh, RR. Tympanoplasty for the anterior-superior perforation in children. Am J Otol 1996;17:115–18Google Scholar
4Lade, H, Choudhary, SR, Vashishth, A. Endoscopic vs microscopic myringoplasty: a different perspective. Eur Arch Otorhinolaryngol 2014;271:1897–902Google Scholar
5Furukawa, T, Watanabe, T, Ito, T, Kubota, T, Kakehata, S. Feasibility and advantages of transcanal endoscopic myringoplasty. Otol Neurotol 2014;35:e140–5Google Scholar
6Khan, I, Jan, AM, Shahzad, F. Middle-ear reconstruction: a review of 150 cases. J Laryngol Otol 2002;116:435–9Google Scholar
7Tos, M. Cartilage tympanoplasty methods: proposal of a classification. Otolaryngol Head Neck Surg 2008;139:747–58Google Scholar
8Fernandes, SV. Composite chondroperichondrial clip tympanoplasty: the triple “C” technique. Otolaryngol Head Neck Surg 2003;128:267–72Google Scholar
9Ahmed, S, Raza, N, Ullah, S, Shabbir, A. Chondroperichondrial clip myringoplasty: a new technique for closure of tympanic membrane perforations. J Laryngol Otol 2013;127:562–7Google Scholar
10Parelkar, K, Nagle, S, Jagade, M, Thorawade, V, Khairnar, P, Attakil, A et al. Triple-c cartilage tympanoplasty: case series. Int J Otolaryngol Head Neck Surg 2015;4:26–31Google Scholar
11Rizer, FM. Overlay versus underlay tympanoplasty. Part I: historical review of the literature. Laryngoscope 1997;107:1–25Google Scholar
12Ayache, S. Cartilaginous myringoplasty: the endoscopic transcanal procedure. Eur Arch Otorhinolaryngol 2013;270:853–60Google Scholar
13Harugop, A, Mudhol, R, Godhi, R. A comparative study of endoscope assisted myringoplasty and microscope assisted myringoplasty. Indian J Otolaryngol Head Neck Surg 2008;60:298–302Google Scholar
14Eren, SB, Tugrul, S, Ozucer, B, Veyseller, B, Aksoy, F, Ozturan, O. Endoscopic transcanal inlay myringoplasty: alternative approach for anterior perforations. Otolaryngol Head Neck Surg 2015;153:891–3Google Scholar
15Kaya, I, Benzer, M, Gode, S, Bilgen, C, Kirazli, T. Butterfly cartilage tympanoplasty: an alternative new technique instead of conventional surgery method. Eur Arch Otorhinolaryngol 2017;274:3311–14Google Scholar
16Tseng, C-C, Lai, M-T, Wu, C-C, Yuan, S-P, Ding, Y-F. Endoscopic transcanal myringoplasty for anterior perforations of the tympanic membrane. JAMA Otolaryngol Head Neck Surg 2016;142:1088–93Google Scholar
17Eavey, RD. Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope 1998;108:657–61Google Scholar
18Shrestha, B. How I do it? Endoscopic modified inlay butterfly cartilage perichondrium myringoplasty. Kathmandu Univ Med J (KUMJ) 2013;11:185–7Google Scholar
19Zahnert, T, Hüttenbrink, K-B, Mürbe, D, Bornitz, M. Experimental investigations of the use of cartilage in tympanic membrane reconstruction. Am J Otol 2000;21:322–8Google Scholar
20Levinson, RM. Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets. Laryngoscope 1987;97:1069–74Google Scholar
21Dornhoffer, JL. Hearing results with cartilage tympanoplasty. Laryngoscope 1997;107:1094–9Google Scholar