Jumaily M, et al. - Experts reviewed the literature for studies that examined butterfly cartilage tympanoplasty success rates and outcomes and compared them to the outcomes from 23 pediatric patients and 7 adult patients. For closing tympanic membrane perforations and decreasing the air-bone gap in both adults and children, the butterfly cartilage/cartilage button technique was noted to be effective. Findings demonstrated variable hearing outcomes, although the majority reported improved hearing. A decrease in the mean air-bone gap from 13.4 dB to 6.9 dB was noted.