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<p>Amidst the evolution of tympanoplasty techniques, the consistent repair of tympanic membrane perforations remains an enduring challenge. We introduce a next-generation endoscopic cartilage tympanoplasty technique that employs a through-perforation, malleus–annular-conformal approach, ensuring stable graft integration while maintaining minimal invasiveness and maximal surgical efficiency. A prospective study was conducted on 48 patients with total or subtotal chronic tympanic membrane perforations undergoing tympanoplasty. The procedure used tragal cartilage fashioned with a malleolar notch, posterior flange, and circumferential annular groove to achieve three-point fixation. Grafts were inserted through the perforation, raising a small supra-malleolar flap. Outcomes were assessed at three months for graft uptake, hearing improvement, complications, and surgical time. The study included 48 patients (mean age 30.19 ± 11.42 years), comprising 16 males and 32 females. Graft uptake was achieved in 96% of cases, with a mean hearing gain of 14.1 dB (95% CI: 11.2, 17.0; r = 0.65; d = 1.4; <i>p</i> &lt; 0.001) and air-bone gap closure of 10.6 dB (95% CI: 8.4, 12.8; r = 0.71; d = 1.4; <i>p</i> &lt; 0.001). No cases of graft medialization, rotation, or lateralization were observed. The mean operative time was 24 minutes, and complications were minimal. Zuffy Rsing’s conformal tympanoplasty provides a reliable, minimally invasive solution for chronic tympanic membrane perforations. Anchored through a three-point fixation, it ensures graft stability, optimal acoustic transmission, and reduced morbidity within short operative time frames. Its reproducibility and cost-effectiveness make it particularly advantageous in otologic settings in low and middle-income countries.</p>

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Zuffy Rsing’s Technique: A Next-Generation Endoscopic Push-Through Cartilage Tympanoplasty

  • 期刊论文

  • 发表日期：

    2025年12月17日

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  • Zaufashan Hoda,
  • Richi Sinha,
  • Rakesh Kumar Singh

摘要

Amidst the evolution of tympanoplasty techniques, the consistent repair of tympanic membrane perforations remains an enduring challenge. We introduce a next-generation endoscopic cartilage tympanoplasty technique that employs a through-perforation, malleus–annular-conformal approach, ensuring stable graft integration while maintaining minimal invasiveness and maximal surgical efficiency. A prospective study was conducted on 48 patients with total or subtotal chronic tympanic membrane perforations undergoing tympanoplasty. The procedure used tragal cartilage fashioned with a malleolar notch, posterior flange, and circumferential annular groove to achieve three-point fixation. Grafts were inserted through the perforation, raising a small supra-malleolar flap. Outcomes were assessed at three months for graft uptake, hearing improvement, complications, and surgical time. The study included 48 patients (mean age 30.19 ± 11.42 years), comprising 16 males and 32 females. Graft uptake was achieved in 96% of cases, with a mean hearing gain of 14.1 dB (95% CI: 11.2, 17.0; r = 0.65; d = 1.4; p < 0.001) and air-bone gap closure of 10.6 dB (95% CI: 8.4, 12.8; r = 0.71; d = 1.4; p < 0.001). No cases of graft medialization, rotation, or lateralization were observed. The mean operative time was 24 minutes, and complications were minimal. Zuffy Rsing’s conformal tympanoplasty provides a reliable, minimally invasive solution for chronic tympanic membrane perforations. Anchored through a three-point fixation, it ensures graft stability, optimal acoustic transmission, and reduced morbidity within short operative time frames. Its reproducibility and cost-effectiveness make it particularly advantageous in otologic settings in low and middle-income countries.