Triple-c Cartilage Tympanoplasty: Case Series (Short Report)


The triple-c cartilage tympanoplasty i.e. (composite chondroperichondrial clip) technique was devised by Fernandes in 2003. Objectives: The objective of our case series was to assess the success rate and efficacy of the triple-c cartilage tympanoplasty by transcanal approach. Study Design: A retrospective analysis of patients subjected to the technique was conducted. Methods: 20 cases who met the inclusion criteria were assessed by otomicroscopy and pure tone audiometry before and 2 months after the surgery. Results: All patients had complete take-up of the graft and a hearing improvement which was statistically significant. Conclusions: Thus the triple-c technique provides an effective method of closing nonmarginal perforations of the tympanic membrane.

Share and Cite:

Parelkar, K. , Nagle, S. , Jagade, M. , Thorawade, V. , Khairnar, P. , Attakil, A. , Pandare, M. , Nataraj, R. , Hanwate, R. and Kar, R. (2015) Triple-c Cartilage Tympanoplasty: Case Series. International Journal of Otolaryngology and Head & Neck Surgery, 4, 26-31. doi: 10.4236/ijohns.2015.41005.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Glasscock, M.E. and Shambaugh, G.E. Surgery of the Ear 5th Edition Pathology and Clinical Course of Inflammatory Disease of the Middle Ear. Vol. 21, 428-429.
[2] Fernandes, S.V. (2003) Composite Chondroperichondrial Clip Tympanoplasty: The Triple-C Technique. Otolaryngology—Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 128, 267-267.
[3] Ahmed, S., Raza, N., Ullah, S. and Shabbir, A. (2013) Chondroperichondrial Clip Myringoplasty: A New Technique for Closure of Tympanic Membrane Perforations. The Journal of Laryngology & Otology, 127, 562-567.
[4] Rahman, A. (2007) Healing of Tympanic Membrane Perforation: An Experimental Study. Karolinska Institute and University Hospital, Stockhole.
[5] Yung, M. (2008) Cartilage Tympanoplasty: Literature Review. The Journal of Laryngology & Otology, 122, 663-672.
[6] Ghanem, M.A., Monroy, A., Alizadeh, F.S., Nicolau, Y. and Eavey, R.D. (2006) Butterfly Cartilage Graft Inlay Tympanoplasty for Large Perforations. Laryngoscope, 116, 1813-1816.
[7] Tos, M. (2009) Cartilage Tympanoplasty: Classifications of Methods—Techniques—Results. Edition I, Thieme.
[8] Eavey, R.D. (1998) Inlay Tympanoplasty: Cartilage Butterfly Technique. Laryngoscope, 108, 657-661.
[9] Zahnert, T., Huttenbrink, K.-B., Murbe, D. and Bornitz, M. (2000) Experimental Investigations of the Use of Cartilage in Tympanic Membrane Reconstruction. American Journal of Otolaryngology, 21, 322-328.
[10] Gierek, T., Slaska-Kaspera, A., Majzel, K. and Klimczak-Gotqb, L. (2004) Results of Myringoplasty and Type I Tympanoplasty with the Use of Fascia, Cartilage and Perichondrium Grafts. Otolaryngologia Polska, 3, 529-533. (In Polish)
[11] Couloigner, V., Baculard, F., El Bakkouri, W., Viala, P., Francois, M., Narcy, P., et al. (2005) Inlay Butterfly Cartilage Tympanoplasty in Children. Ontology Neurotology, 26, 247-251.
[12] Harugop, A.S., Mudhol, R.S. and Godhi, R.A. (2008) A Comparative Study of Endoscope Assisted Myringoplasty and Microscope Assisted Myringoplasty. Indian Journal of Otolaryngology and Head Neck Surgery, 60, 299-302.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.