{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T23:41:46Z","timestamp":1793144506980,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5814,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2000,10]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p>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 describe our results with modification of this technique in adults under local anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS AND MATERIAL<\/jats:title><jats:p>Cartilage butterfly inlay tympanoplasty was carried out in 20 adult patients to close small\u2010to\u2010medium tympanic membrane perforations over a period of 11\u00a0months. Compared with the original description, 3\u00a0modifications are noted: (1) adult patients, (2) local anesthesia, and (3) no skin graft over the cartilage. We evaluated the success rate and postoperative hearing results.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Two patients were not evaluated in terms of hearing gain because they had profound preoperative hearing loss. Fourteen patients had a postoperative 4 pure\u2010tone average between 0 and 9\u00a0dB, 3 patients between 10 and 20\u00a0dB, and 1 patient greater than 20\u00a0dB. The graft \u201ctake rate\u201d was 90% (18\/20) at the end of the follow\u2010up period (mean follow\u2010up 7.25\u00a0months). Seventeen of 18 successful cases had cartilage grafts that were intact and dry at the last visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The tympanoplasty technique described by Eavey is effective to close tympanic membrane perforation in adults as well as children. The technique modifications introduced here (abandonment of the skin graft and local anesthesia) reduced surgery time and postoperative morbidity. Postoperative results compared with those of the original technique were good.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2000.105994","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"492-494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Inlay Butterfly Cartilage Tympanoplasty (Eavey Technique) Modified for Adults"],"prefix":"10.1002","volume":"123","author":[{"given":"Jos\u00e9 Faibes","family":"Lubianca\u2010Neto","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Funda\u00e7\u00e3o Faculdade Federal de Ci\u011bncias M\u00e9dicas of Porto Alegre Division of Otorhinolaryngology Complexo Hospitalar Santa Casa Porto Alegre RS Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"657","article-title":"The principles of plastic surgery of the sound\u2010conducting apparatus","volume":"69","author":"Z\u00f6llner F","year":"1995","journal-title":"J Laryngol Otol"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02129204"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199712001-00002"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199708000-00016"},{"key":"e_1_2_6_6_2","first-page":"121","volume-title":"Perforations of the tympanic membrane","author":"Kurkjian JM","year":"1993"},{"key":"e_1_2_6_7_2","first-page":"121","volume-title":"Tympanoplasty: Outer surface grafting technique","author":"Sheehy JL","year":"1994"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459988910100601"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199805000-00006"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70103-6"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198207000-00002"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348947508400208"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198709000-00013"},{"key":"e_1_2_6_14_2","first-page":"1","volume-title":"Surgery of chronic otitis media","author":"Sheehy JL","year":"1985"},{"key":"e_1_2_6_15_2","first-page":"447","article-title":"Cartilage palisade tympanoplasty","volume":"10","author":"Amedee RG","year":"1989","journal-title":"Am J Otol"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199312000-00006"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2000.105994","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1067\/mhn.2000.105994","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2000.105994","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:13:11Z","timestamp":1760965991000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1067\/mhn.2000.105994"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,10]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2000,10]]}},"alternative-id":["10.1067\/mhn.2000.105994"],"URL":"https:\/\/doi.org\/10.1067\/mhn.2000.105994","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,10]]},"assertion":[{"value":"2016-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}