title: Butterfly-cartilage tympanoplasty in children: A 28-case series and literature review.
abstract: OBJECTIVE
  This study presents results for a pediatric series of tympanoplasty using the butterfly-cartilage technique, with comparison to literature reports.
  
  
  METHODS
  A retrospective study included patients aged between 2 and 12 years receiving tympanoplasty performed by a single senior surgeon in our department between 2003 and 2012, for whom pre- and postoperative tympanum imaging was complete. Results were analyzed at a minimum 10 months' follow-up in terms of graft healing and auditory data, with pre- and postoperative audiograms and calculation of mean hearing loss.
  
  
  RESULTS
  Twenty-eight tympanoplasties were performed in 27 children: 16 males, 11 females; in 1 case, perforation was bilateral. Perforation location was inferior or antero-inferior in 14 cases (50%), antero-superior in 9 (32.1%) and anterior in 5 (17.9%). Perforation size on otoscopy ranged from 11.1% to 36.4% of tympanum area (mean, 26.3%). Mean follow-up was 25 months. Closure of the perforation was achieved in 87.7% of cases. Mean hearing loss was 20.2dB (range, 10-31.25dB) preoperatively and 14dB (range, 5-31.25dB) postoperatively.
  
  
  CONCLUSIONS
  We analyze our results and compare them with the international literature to refine indications for this technique of tympanic repair.
  
  
  CONCLUSIONS
  Tympanoplasty using the butterfly-cartilage technique was reliable and easy to perform. It should be included in the therapeutic armamentarium for moderate non-marginal tympanic perforation. In the present series, the technique was reserved to perforations involving less than 40% of tympanum area.
authors.affiliation: Centre Antoine-Lacassagne, institut universitaire de la face et du cou, 30, avenue de la Voie-Romaine, 06002 Nice, France. Electronic address: jriss@hopital-saint-joseph.fr.
authors.forename: J-C
authors.initials: JC
authors.lastname: Riss
authors.affiliation: Service ORL pédiatrique, CHU La-Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: S
authors.initials: S
authors.lastname: Roman
authors.affiliation: Service ORL pédiatrique, CHU La-Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: E
authors.initials: E
authors.lastname: Morredu
authors.affiliation: Service ORL pédiatrique, CHU La-Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: A
authors.initials: A
authors.lastname: Farinetti
authors.affiliation: Service ORL pédiatrique, CHU La-Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: R
authors.initials: R
authors.lastname: Nicollas
authors.affiliation: Service ORL pédiatrique, CHU La-Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Triglia
mesh_terms: D001301:Audiometry, Pure-Tone; D002356:Cartilage / Q000637:transplantation*; D002648:Child; D002675:Child, Preschool; D005260:Female; D034381:Hearing Loss / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D038781:Otoscopy; D012189:Retrospective Studies; D018058:Tympanic Membrane Perforation / Q000601:surgery*; D014433:Tympanoplasty / Q000379:methods*
keywords: Butterfly-cartilage; Children; Tympanoplasty