Objective: To determine whether bivalve inlay cartilage-perichondrium myringoplasty (BCM) is successful in closing tympanic membrane perforations in an office setting.
Study design: Retrospective case review.
Subjects and 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.