title: Bivalve cartilage inlay myringoplasty: an office-based procedure for closing small to medium-sized tympanic membrane perforations.
abstract: OBJECTIVE
  To determine whether bivalve inlay cartilage-perichondrium myringoplasty (BCM) is successful in closing tympanic membrane perforations in an office setting.
  
  
  METHODS
  Retrospective case review.
  
  
  METHODS
  Adult patients with chronic perforations underwent BCM under local and topical anesthesia. Success was defined as complete closure of perforation at follow-up of at least 1 month. Predictors of success were identified by comparing the success and failure groups on pre- and postoperative pure tone average (PTA), patient demographics (age, gender), and characteristics of the perforations (size, location, duration, etiology).
  
  
  RESULTS
  A total of 145 procedures were performed and the patients were followed for 1 to 78 months. The success rate for perforations smaller than 4 mm was 75 percent. Size of the perforation, and pre- and postoperative PTAs were significantly different between the two groups. The only significant predictors of success were preoperative PTA and size of perforation.
  
  
  CONCLUSIONS
  BCM is a viable option for closure of small and medium-sized perforations in an office setting.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Palo Alto, CA, USA. monfared@stanford.edu
authors.forename: Ashkan
authors.initials: A
authors.lastname: Monfared
authors.forename: Chris M
authors.initials: CM
authors.lastname: Bergeron
authors.forename: Justin
authors.initials: J
authors.lastname: Ortiz
authors.forename: Howard
authors.initials: H
authors.lastname: Lee
authors.forename: Kim
authors.initials: K
authors.lastname: Kamine
authors.forename: Todd
authors.initials: T
authors.lastname: Dray
authors.forename: Richard
authors.initials: R
authors.lastname: Gunsalus
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D015331:Cohort Studies; D004425:Ear Cartilage / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000209:etiology / Q000473:pathology* / Q000601:surgery*