An empirical study of success rate of the butterfly technique among patients from Peshawar, Pakistan
Abstract
Tympanoplasty is widely used as a treatment for minor perforations and has been practiced since ancient times using the available tools of that era. However, this technique has been criticized for certain drawbacks, including prolonged hospital stays, increased morbidity, and post-operative scarring. This has led to the need for a more refined approach. The aim of this study is to evaluate the clinical and audiometric success rates of the tragal cartilage plug or butterfly technique tympanoplasty. A total of 30 patients, aged between 16 and 55 years, were included in the study. The findings revealed that 27 out of 30 patients had successful graft uptake, while the remaining 3 experienced residual perforations, resulting in an overall success rate of 90%. Anatomical success was determined through otoscopy, confirming proper graft placement. Functional success was evaluated using audiograms, which showed a reduction in the Air-Bone (A-B) gap in 25 patients (83.3%). Based on these results, this tympanoplasty technique may be considered a viable alternative for repairing tympanic membrane perforations.
Keywords: Tympanoplasty, Butterfly Technique, Tragal Cartilage.
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