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Comparison of perichondrium-cartilage button technique and traditional over-underlay technique for repairing large perforations

Published online by Cambridge University Press:  29 May 2023

J Sun Open the ORCID record for J Sun [Opens in a new window]
J Sun*
Affiliation:
Department of Otorhinolaryngology, Yiwu Central Hospital, Yiwu City, China
*
Corresponding author: J Sun; Email: sunjunzhi2019@126.com
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Abstract

Objective

This study was performed to compare the operation time, graft outcomes and complications between the endoscopic cartilage-perichondrium button technique and over-under technique for repairing large perforations.

Methods

A total of 52 chronic large perforations were randomly allocated to receive treatment using the endoscopic cartilage-perichondrium button technique (n = 26) or over-under technique (n = 26). The graft outcomes, mean operation time and post-operative complications were compared between the two groups at 12 months.

Results

The study population consisted of 52 patients with unilateral chronic large perforations. All patients completed 12 months of follow up. The mean operation time was 32.3 ± 4.2 minutes in the button technique group and 51.6 ± 2.8 minutes in the over-underlay technique group (p < 0.01). The graft success rate at 12 months was 92.3 per cent (24 out of 26) in the button technique group and 96.2 per cent (25 out of 26) in the over-underlay group (p = 0.552).

Conclusion

The endoscopic cartilage-perichondrium button technique had similar graft success rates and hearing outcomes for large chronic perforations to the over-under technique, but significantly shortened the mean operation time.

Keywords

Myringoplastybuttonover-under techniquecartilagegrafts
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 2 , February 2024 , pp. 148 - 152
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Miss J Sun takes responsibility for the integrity of the content of the paper

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