ArticleCureus2025
Endoscopic Transcanal Myringoplasty: A Comparative Analysis of Graft Uptake and Hearing Outcomes Using Butterfly Cartilage, Temporalis Fascia, and a Novel Composite Cartilage Graft.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTympanic membrane perforation repair continues to evolve, with a shift toward endoscopic approaches and diverse grafting materials. Subtotal perforations with minimal anterior margins pose a significant clinical challenge. This study evaluated the efficacy of a novel composite graft (partial-thickness tragal cartilage overlaid with temporalis fascia) compared to established techniques: full-thickness tragal cartilage (butterfly graft) and temporalis fascia.
methodsThis observational retrospective study was conducted at a tertiary care setting. The medical records of 70 consecutive patients who underwent endoscopic transcanal myringoplasty were reviewed. Patients were categorized into three groups based on the myringoplasty technique: butterfly cartilage graft, temporalis fascia graft, and composite cartilage graft. Graft uptake rates and changes in air-bone gap (ABG) were compared pre- and postoperatively (at three months).
resultsAll three techniques demonstrated high graft uptake rates and statistically significant improvements in ABG. The butterfly graft had a 100% uptake rate, the temporalis fascia graft had an 89.47% uptake rate, and the composite cartilage graft had an 84.62% uptake rate. Mean ABG improvement at three months postoperatively was 10.06 dB for the butterfly group, 9.53 dB for the temporalis fascia group, and 10.23 dB for the composite cartilage graft group. Significant differences were observed between all groups (p < 0.001). The composite graft demonstrated promising results, particularly for subtotal perforations.
conclusionsEndoscopic transcanal myringoplasty with various graft materials is an effective method for tympanic membrane repair. The butterfly cartilage graft is suitable for small- to medium-sized perforations, and temporalis fascia remains suitable for large- and medium-sized perforations with adequate anterior margins. For subtotal perforations with minimal anterior margins, the novel composite cartilage graft offers a promising alternative with a high potential for successful outcomes. This warrants further investigation in larger prospective studies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.