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Mei X. Endoscopic perichondrium-cartilage button technique for repairing chronic large perforations in teenagers. Am J Otolaryngol. 2021;43(2):103307doi: 10.1016/j.amjoto.2021.103307.
Mei, X. (2021). Endoscopic perichondrium-cartilage button technique for repairing chronic large perforations in teenagers. American journal of otolaryngology, 43(2), 103307. https://doi.org/10.1016/j.amjoto.2021.103307
Mei, Xianwei. "Endoscopic perichondrium-cartilage button technique for repairing chronic large perforations in teenagers." American journal of otolaryngology vol. 43,2 (2021): 103307. doi: https://doi.org/10.1016/j.amjoto.2021.103307
Mei X. Endoscopic perichondrium-cartilage button technique for repairing chronic large perforations in teenagers. Am J Otolaryngol. 2021 Dec 03;43(2):103307. doi: 10.1016/j.amjoto.2021.103307. Epub 2021 Dec 03. PMID: 34894447.
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Am J Otolaryngol. 2021 Dec 03;43(2):103307. doi: 10.1016/j.amjoto.2021.103307. Epub 2021 Dec 03.

Endoscopic perichondrium-cartilage button technique for repairing chronic large perforations in teenagers.

American journal of otolaryngology

Xianwei Mei

Affiliations

  1. Department of Otolaryngology, Hangzhou Hospital of Traditional Chinese Medicine, China; Department of Otolaryngology, Hangzhou TCM Hospital Affiliated to Zhejian Chinese Medicine University, China. Electronic address: [email protected].

PMID: 34894447 DOI: 10.1016/j.amjoto.2021.103307

Abstract

OBJECTIVE: The objective of this study was to evaluate the graft outcome and complications of endoscopic perichondrium-cartilage button technique for repairing chronic large perforations in teenagers.

STUDY DESIGN: Prospective case series.

MATERIALS AND METHODS: 56 patients with chronic large perforations more than 50% of the TM who underwent endoscopic perichondrium-cartilage button technique. The graft success rate, hearing outcome, and complications were evaluated at postoperative 3, 6 and 12 months.

RESULTS: Of the 56 ears, 3 (5.4%) patients lost follow-up, 53 (94.6%) patients were finally included in this study. The mean operation time was 37.2 ± 5.4 min. The retrograde tympanomeatal flap elevation was performed in 16 (30.2%) patients. The graft success rate was 96.2% (51/53) at postoperative 3 months and 94.3% (50/53) at postoperative 12 months. The mean preoperative ABG was 25.0 ± 3.7 dB, while the mean postoperative ABG postoperatively 6 months was 12.8 ± 3.1 dB; the difference between these values was significant. No graft-related complications (e.g., graft lateralization, significant blunting, and graft medialization) were encountered during the follow-up period. However, graft keratin pearl was noticed in 5.7% (3/53) patients, which occurred in the handle of malleus in 2 and antero-inferior margin in one. All the graft pearls were endoscopically removed in the outpatient setting.

CONCLUSIONS: Endoscopic perichondrium-cartilage button technique can be achieved in every teenager patient with chronic large perforation without cholesteatoma, and, is a safe and efficient procedure.

Copyright © 2021 Elsevier Inc. All rights reserved.

Keywords: Button; Cartilage graft; Endoscope; Myringoplasty; Teenager

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