ENT - September 2020 - 526

526
in myringoplasty because the homeostasis of the internal ear is
not disturbed. It is essential to note that ISNHL has seldom
been reported in patients undergoing exclusive myringoplasty.
The primary disadvantage of bilateral myringoplasty is hearing
impairment during the ear canal packing period. CayeThomasen et al7 investigated the debatable issue of bilateral
packing and concluded that hearing was impaired for a few
days during postoperative bilateral packing, but thereafter no
significant hearing problems were reported in everyday activities. The authors' explanation for this was that the packing
material dried over time, allowing passage of air, thereby gradually improving hearing. None of our patients who underwent
bilateral same-day myringoplasty experienced deafness hindering their daily activities.
In case of bilateral surgery for TM perforations, due to the
increased risk of ISNHL during surgery caused by the presence of middle ear granulation tissue or necessity of ossicular
chain reconstruction, only nondischarging ears with no suspicion of additional pathology should be included.6 Surgery
should be initiated on the ear with the most severe pathology/largest perforation, and in case of unexpected events,
which increase the risk of ISNHL during first ear surgery
(eg, necessity for ossicular chain reconstruction), the second
ear procedure should be abandoned.
In this study, there are 2 issues to be addressed. First, the
sample was relatively small to reach a widely accepted conclusion. A more extensive survey of cases would be beneficial. Second, patients who underwent bilateral same-day surgery were
exposed to general anesthesia for a longer time as the duration
of this type of procedure is longer compared to unilateral surgery.
Therefore, in cases where exposure to general anesthesia for an
extended time poses a risk and in elderly patients, bilateral sameday surgery should be performed under local anesthesia.

Conclusion
Bilateral same-day endoscopic myringoplasty using tragal cartilage from one ear is a safe and satisfactory procedure with a
good success rate. Harvesting of tragal cartilage from one ear
allows the opposite ear tragal cartilage to be used during subsequent surgery in case of potential graft failure. The hearing
impairment experienced during postoperative ear canal packing is modest and is therefore readily acceptable by patients.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to
the research, authorship, and/or publication of this article.

Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.

References
1. Plinkert P, Lo¨wenheim H. Trends and perspectives in minimally
invasive surgery in otorhinolaryngology-head and neck surgery.
Laryngoscope. 1997;107(11 Pt 1):1483-1489.

Ear, Nose & Throat Journal 99(8)
2. Huang TY, Ho KY, Wang LF, Chien CY, Wang HM. A comparative study of endoscopic and microscopic approach type 1 tympanoplasty for simple chronic otitis media. J Int Adv Otol. 2016;
12(1):28-31.
3. Raghuwanshi SK, Asati DP. Outcome of single-sitting bilateral
type 1 tympanoplasty in Indian patients. Indian J Otolaryngol
Head Neck Surg. 2013;65(suppl 3):622-626.
4. Palva T, Ka¨rja¨ J, Palva A. High-tone sensorineural losses following chronic ear surgery. Arch Otolaryngol. 1973;98(3):
176-178.
5. Smyth G. Sensorineural hearing loss in chronic ear surgery. Ann
Otol Rhino Laryngol. 1977;86(1 Pt 1):3-8.
6. Tos M, Lau T, Plate S. Sensorineural hearing loss following
chronic ear surgery. Ann Otol Rhino Laryngol. 1984;93(4 pt 1):
403-409.
7. Caye-Thomasen P, Nielsen TR, Tos M. Bilateral myringoplasty in chronic otitis media. Laryngoscope. 2007;117(5):
903-906.
8. Eavey RD. Inlay tympanoplasty: cartilage butterfly technique.
Laryngoscope. 1998;108(5):657-661.
9. Gamra OB, Mbarek C, Khammassi K, et al. Cartilage graft in type
1 tympanoplasty: audiological and otological outcome. Eur Arch
Otorhinolaryngol. 2008;265(7):739-742.
10. Boone RT, Gardner EK, Dornhoffer JL. Success of cartilage
grafting in revision tympanoplasty without mastoidectomy. Otol
Neurotol. 2004;25(5):678-681.
11. Moore GF. Candidate's thesis: revision tympanoplasty
utilizing fossa triangularis. Laryngoscope. 2002;112(9):
1543-1554.
12. Aidonis I, Robertson TC, Sismanis A. Cartilage shield tympanoplasty: a reliable technique. Otol Neurotol. 2005;26(5):
838-841.
13. Bernal-Sprekelsen M, Romaguera L, Sanz Gonzalo JJ. Cartilage
palisades in type 3 tympanoplasty: anatomic and functional long
term results. Otol Neurotol. 2003;24(1):38-42.
14. Ghanem MA, Monroy A, Alizade FS, Nicolau Y, Eavey RD.
Butterfly cartilage graft inlay tympanoplasty for large perforations. Laryngoscope. 2006;116(10):1813-1816.
15. Onal K, Arslanoglu S, Songu M, Demiray U, Demirpehlivan IA.
Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media. J Laryngol
Otol. 2012;126(1):22-25.
16. Sakagami M, Mishiro Y, Tsuzuki K, Seo T, Sone M. Bilateral
same day surgery for bilateral perforated chronic otitis media.
Auris Nasus Larynx. 2000;27(1):35-38.
17. Katsura H, Sakagami M, Tsuji K, et al. Reevaluation of bilateral
same-day surgery for bilateral perforated chronic otitis media.
Otol Neurotol. 2005;26(5):842-845.
18. Yu MS, Yoon TH. Bilateral same-day surgery for bilateral
perforated chronic otitis media: Inlay butterfly cartilage myringoplasty. Otolaryngol Head Neck Surg. 2010;143(5):
669-672.
19. Rai AK, Singh GB, Sahu R, Singh S, Arora R. Evaluation of
simultaneous bilateral same day tympanoplasty type I in chronic
suppurative otitis media. Auris Nasus Larynx. 2014;41(2):
148-152.



ENT - September 2020

Table of Contents for the Digital Edition of ENT - September 2020

The Creation of a Sustainable Otolaryngology Department in Malawi Nathan Douglas Vandjelovic, Eric Masao Sugihara, Wakisa Mulwafu, and David Nathan Madgy
Hazardous Grilling Due to Wire Brushes Nima A. Vahidi, Brenna A. Keane, Paul J. Whalen, and Anita Jeyakumar
Guns n’ Noses: Endoscopic Removal of an Air-Gun Pellet Retained in the Frontal Sinus Dylan A. Levy, Andrew Y. Lee, Waleed M. Abuzeid, and Nadeem A. Akbar
Vitamin D Status in Egyptian Children With Allergic Rhinitis Khaled Saad, Abobakr Abdelmoghny, Mohamed Diab Aboul-Khair, Yasser Farouk Abdel-Raheem, Eman Fathalla Gad, Ahmed El-Sayed Hammour, Bahaa Hawary, Asmaa M. Zahran, Mohamd A. Alblihed, and Amira Elhoufey
Pediatric Epistaxis and Its Correlation Between Air Pollutants in Beijing From 2014 to 2017 Ying-Xia Lu, Jie-Qiong Liang, Qing-Long Gu, Chong Pang, and Chun-Lei Huang
Otomycosis With Tympanic Membrane Perforation: A Review of the Literature Petros Koltsidopoulos and Charalampos Skoulakis
Simultaneous Bilateral Same-Day Endoscopic Myringoplasty Using Tragal Cartilage From One Ear Baklaci Deniz, Kuzucu Ihsan, Guler Ismail, Kum Rauf Oguzhan, and Ozcan Muge
A Preliminary Report on the Investigation of Prestin as a Biomarker for Idiopathic Sudden Sensorineural Hearing Loss Changling Sun, Xiaolin Xuan, Zhi Zhou, Yuan Yuan, and Fei Xue
A Retrospective Study to Identify the Relationship Between the Dimension of Osseous External Auditory Canal and Chronic Otitis Media Yi-Fang Lee, Pei-Yin Wei, Chia-Huei Chu, Wen-Huei Liao, An-Suey Shiao, and Mao-Che Wang
Investigation of the Effectiveness of Surgical Treatment on Respiratory Functions in Patients With Obstructive Sleep Apnea Syndrome Burak Kersin, Murat Karaman, Engin Aynacı, and Ahmet Keles
Changing Trends of Color of Different Laryngeal Regions in Laryngopharyngeal Reflux Disease Chen Du, Paige Thayer, Yan Yan, Qingsong Liu, Li Wang, and Jack Jiang
ENT - September 2020 - Intro
ENT - September 2020 - Cover1
ENT - September 2020 - Cover2
ENT - September 2020 - 489
ENT - September 2020 - 490
ENT - September 2020 - 491
ENT - September 2020 - 492
ENT - September 2020 - 493
ENT - September 2020 - 494
ENT - September 2020 - 495
ENT - September 2020 - 496
ENT - September 2020 - 497
ENT - September 2020 - 498
ENT - September 2020 - 499
ENT - September 2020 - 500
ENT - September 2020 - The Creation of a Sustainable Otolaryngology Department in Malawi Nathan Douglas Vandjelovic, Eric Masao Sugihara, Wakisa Mulwafu, and David Nathan Madgy
ENT - September 2020 - 502
ENT - September 2020 - Hazardous Grilling Due to Wire Brushes Nima A. Vahidi, Brenna A. Keane, Paul J. Whalen, and Anita Jeyakumar
ENT - September 2020 - 504
ENT - September 2020 - Guns n’ Noses: Endoscopic Removal of an Air-Gun Pellet Retained in the Frontal Sinus Dylan A. Levy, Andrew Y. Lee, Waleed M. Abuzeid, and Nadeem A. Akbar
ENT - September 2020 - 506
ENT - September 2020 - 507
ENT - September 2020 - Vitamin D Status in Egyptian Children With Allergic Rhinitis Khaled Saad, Abobakr Abdelmoghny, Mohamed Diab Aboul-Khair, Yasser Farouk Abdel-Raheem, Eman Fathalla Gad, Ahmed El-Sayed Hammour, Bahaa Hawary, Asmaa M. Zahran, Mohamd A. Alblihed, and Amira Elhoufey
ENT - September 2020 - 509
ENT - September 2020 - 510
ENT - September 2020 - 511
ENT - September 2020 - 512
ENT - September 2020 - Pediatric Epistaxis and Its Correlation Between Air Pollutants in Beijing From 2014 to 2017 Ying-Xia Lu, Jie-Qiong Liang, Qing-Long Gu, Chong Pang, and Chun-Lei Huang
ENT - September 2020 - 514
ENT - September 2020 - 515
ENT - September 2020 - 516
ENT - September 2020 - 517
ENT - September 2020 - Otomycosis With Tympanic Membrane Perforation: A Review of the Literature Petros Koltsidopoulos and Charalampos Skoulakis
ENT - September 2020 - 519
ENT - September 2020 - 520
ENT - September 2020 - 521
ENT - September 2020 - Simultaneous Bilateral Same-Day Endoscopic Myringoplasty Using Tragal Cartilage From One Ear Baklaci Deniz, Kuzucu Ihsan, Guler Ismail, Kum Rauf Oguzhan, and Ozcan Muge
ENT - September 2020 - 523
ENT - September 2020 - 524
ENT - September 2020 - 525
ENT - September 2020 - 526
ENT - September 2020 - 527
ENT - September 2020 - A Preliminary Report on the Investigation of Prestin as a Biomarker for Idiopathic Sudden Sensorineural Hearing Loss Changling Sun, Xiaolin Xuan, Zhi Zhou, Yuan Yuan, and Fei Xue
ENT - September 2020 - 529
ENT - September 2020 - 530
ENT - September 2020 - 531
ENT - September 2020 - A Retrospective Study to Identify the Relationship Between the Dimension of Osseous External Auditory Canal and Chronic Otitis Media Yi-Fang Lee, Pei-Yin Wei, Chia-Huei Chu, Wen-Huei Liao, An-Suey Shiao, and Mao-Che Wang
ENT - September 2020 - 533
ENT - September 2020 - 534
ENT - September 2020 - 535
ENT - September 2020 - 536
ENT - September 2020 - Investigation of the Effectiveness of Surgical Treatment on Respiratory Functions in Patients With Obstructive Sleep Apnea Syndrome Burak Kersin, Murat Karaman, Engin Aynacı, and Ahmet Keles
ENT - September 2020 - 538
ENT - September 2020 - 539
ENT - September 2020 - 540
ENT - September 2020 - 541
ENT - September 2020 - 542
ENT - September 2020 - Changing Trends of Color of Different Laryngeal Regions in Laryngopharyngeal Reflux Disease Chen Du, Paige Thayer, Yan Yan, Qingsong Liu, Li Wang, and Jack Jiang
ENT - September 2020 - 544
ENT - September 2020 - 545
ENT - September 2020 - 546
ENT - September 2020 - 547
ENT - September 2020 - 548
ENT - September 2020 - 549
ENT - September 2020 - 550
ENT - September 2020 - 551
ENT - September 2020 - 552
ENT - September 2020 - Cover3
ENT - September 2020 - Cover4
https://www.nxtbookmedia.com