Endoscope-assisted inlay butterfly cartilage myringoplasty

Myringoplasty is one of the most common forms of surgery in otology. It yields very satisfying results for both to the patient and the surgeon. Popular myringoplasty techniques include either an underlay or an onlay approach using tissues such as temporalis fascia or perichondrium as grafts. In 1998, Eavey described an inlay tympanoplasty technique in children using a cartilage graft which resembled butterfly wings. This technique was effective for closure of tympanic membrane perforations, while being more rapid for the surgeon and more comfortable for the patient. The aim of this study was to evaluate the results of using middle ear endoscopy for doing inlay butterfly cartilage myringoplasty. Between December 2008 and December 2010, Twenty one consecutive patients between age group of 16-50 years with persistent tympanic membrane perforation were included in this study. All patients underwent Endoscope-assisted Inlay Butterfly Cartilage [Eavey Technique] myringoplasty [EAIBCM]. The overall success rate of the graft uptake and improvement in conductive deafness as air-bone gap closure was achieved in above 80 percent of cases. tympanoscopy, with its visualisation of hidden corners, justifies Butterfly inlay myringoplasty via a tympanic membrane perforation. Furthermore, the cost of the endoscope is much less than the operating microscope and the endoscope is portable tool thus it is more cost-effective, especially in developing countries. Combining butterfly inlay tympanoplasty technique with the middle ear endoscopy as a tool carries definitive advantages of less operative time, day care surgery, minimal scarring and hence can be accepted as a routine procedure in day-to-day practice.

insight on the prevalence of body weight disturbance among children with otitis media with effusion

To evaluate the frequency of variant constitutional parameters among children of primary school age and had otitis media with effusion [OME]. The present study was assigned to include 100 children of primary school age with manifestations of OME and underwent myringotomy and insertion of Grommet's tube for middle ear aeration. All patients underwent preoperative determination of age, gender, weight [kg] and height [cm] and body mass index [BMI]. Obesity was defined according to the percentile of BMI adjusted for age and gender and for comparative purposes; enrolled patients were stratified according to BMI percentile strata within each age-stratum and gender frequencies. The study included 100 patients; 54 males and 46 females with a mean age of 8.7 +/- 1.8; range: 6-12 years and mean BMI of 27.2 +/- 4.5; range: 17.7-35.5 kg/m2. Twenty-six patients had average healthy weight, 20 patients were at risk of being over-weight, 23 patients were over-weight and 31 were obese. Twenty-three of patients aged 6-8 years [57.5%], 17 patients aged >8-10 years [47.5%] and 11 patients older than >10 years [57.2%] were average weight or at risk of being over-weight with non-significant between age strata. Similarly, the percentages of over-weight and obese patients showed nonsignificant difference between age strata. Patients' distribution according to gender showed significantly higher percentage of females in obese patients compared to those had average weight or at risk of being over-weight and non-significantly compared to over-weight patients. Average weight patients showed higher percentage of males that was significant compared to over-weight patients and non-significant compared to those at risk of being over-weight. There is a relationship between obesity and OME in children of primary school age and this was age or sex-independent and could be attributed to obesity-associated disturbed immune milieu or to affection of taste sensation