Comparison of Inlay Cartilage Butterfly and Underlay Temporal Fascia Tympanoplasty

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José Faibes Lubianca Neto¹  Artur Koerig Schuster¹  João Pedro Neves Lubianca⁵  Roland Douglas Eavey⁶ 

[1] Medical School of Federal University of Health Sciences of Porto Alegre;Graduate Program in Pediatrics of Federal University of Health Sciences of Porto Alegre;Otorhinolaryngology Service of Santa Casa de Misericórdia Hospital of Porto Alegre;Pediatric Otolaryngology Service of Santo Antonio Children’s Hospital of Porto Alegre;Medical School of Federal University of Rio Grande do Sul;Department of Otolaryngology–Head and Neck Surgery, Vanderbilt University Medical Center

关键词: tympanoplasty;    tympanic membrane perforation;    butterfly cartilage graft;    inlay;    underlay;   

DOI  :  10.1177/2473974X221108935

学科分类：社会科学、人文和艺术（综合）

来源: Sage Journals

【 摘 要 】

Objective. To systematically review the results of inlay cartilage butterfly tympanoplasty and standard underlay temporalfascia tympanoplasty for anatomic and functional end points.Data Sources. PubMed, Embase, MEDLINE, and VirtualHealth Library (VHL/Lilacs) databases were searched frominception through April 2, 2021. No restrictions on language, publication year, or publication status were applied.Review Methods. The meta-analysis included data from articlesthat met inclusion criteria and were extracted by 2 authorsindependently. The PRISMA statement was followed. Risk ofBias 2.0 and Newcastle-Ottawa Scale were used to assess riskof bias. The primary outcome was tympanic membrane closurerate. The secondary outcome was improvement of the airbone gap.Results. Ten studies were included, 9 cohort studies and 1randomized clinical trial, with 577 patients. The graft takerate was 82.8% in the butterfly cartilage inlay tympanoplastygroup and 85.2% in the temporal fascia underlay tympanoplasty group (relative risk, 1.01; 95% CI, 0.93-1.11; I2 = 42%,P = .08). The air-bone gap reduction ranged from 6.1 to11.28 in the butterfly cartilage inlay group and from 5.2 to12.66 in the temporal fascia underlay group, with a mean difference between groups of 22.08 (95% CI, 23.23 to 20.94;I2 = 58%, P = .04), favoring temporal fascia underlay.Conclusion. The 2 tympanoplasty techniques analyzed hereproduced similar results in terms of successful reconstructionof the tympanic membrane and reduction in the air-bone gap.Neither age nor follow-up length of time influenced outcomes.

【 授权许可】

CC BY|CC BY-NC