European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
Technical note: A graft modification in butterfly cartilage myringoplasty using a triangular excision.
СтатьяНазвание и аннотация: Перевод в очереди
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Cakir Meliksah, Bayraktar Hakan, Ozdogan Fatih
Аннотация
BACKGROUND: Butterfly myringoplasty is a simple and effective technique for small-to-moderate, non-marginal tympanic membrane perforations. Various modifications of the graft have been described. However, when the residual tympanic membrane is thin, it may tear during graft placement.
METHODS: Inspired by the Paparella type 2 ventilation tube, we applied a minor modification to the cartilage graft in butterfly myringoplasty. A small triangular excision was made on the medial wing of the graft, allowing controlled rotational insertion through the perforation while preserving the integrity of the residual tympanic membrane.
CONCLUSION: This modification may facilitate safer graft placement, particularly in atrophic membranes, by reducing the risk of trauma to the residual membrane. Further studies are needed to assess its effectiveness.
METHODS: Inspired by the Paparella type 2 ventilation tube, we applied a minor modification to the cartilage graft in butterfly myringoplasty. A small triangular excision was made on the medial wing of the graft, allowing controlled rotational insertion through the perforation while preserving the integrity of the residual tympanic membrane.
CONCLUSION: This modification may facilitate safer graft placement, particularly in atrophic membranes, by reducing the risk of trauma to the residual membrane. Further studies are needed to assess its effectiveness.