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Clinical efficacy of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique for small-to-medium tympanic membrane perforations: a retrospective study

Published online by Cambridge University Press:  02 April 2025

Chao Ji  and
Fei-Fei Xu Open the ORCID record for Fei-Fei Xu [Opens in a new window]
Chao Ji
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Nantong First People's Hospital, Nantong, Jiangsu, China
Fei-Fei Xu*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Nantong First People's Hospital, Nantong, Jiangsu, China
*
Corresponding author: Fei-Fei Xu; Email: 598736@qq.com
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Abstract

Objective

To evaluate the efficacy and safety of the dumbbell-shaped tragal cartilage–perichondrium air-filled chamber technique versus the gelatine sponge packing method for small–medium tympanic membrane perforations.

Methods

A retrospective analysis of 68 patients (39 air-filled chamber, 29 gelatine sponge) treated between January 2020 and September 2024. Pre- and post-operative assessments included pure tone audiometry, air–bone gap, tympanic membrane healing, and visual analogue scale scores.

Results

Healing rates were similar (89.7 per cent vs 93.1 per cent, p = 0.959). At six months, pure tone audiometry and air–bone gap improvements were comparable (p > 0.05). At one month, the air-filled chamber group showed better hearing recovery (pure tone audiometry: 19.71 vs 24.27 dB HL; air–bone gap: 7.28 vs 12.28 dB HL; both p < 0.05) and lower pain scores (1.13 vs 1.59, p = 0.022). Complications and operative times were similar.

Conclusion

The air-filled chamber technique is a safe and effective alternative, offering superior early hearing recovery, reduced discomfort, and comparable long-term outcomes to the gelatine sponge method.

Keywords

endoscopytympanic membrane perforationgelatin sponge, absorbableaudiometrysurgical procedure

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 7
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Fei-Fei Xu takes responsibility for the integrity of the content of the paper

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