A Comparative Evaluation of Audiological and Graft Uptake Results of Reinforced Sliced Conchal Cartilage Versus Temporalis Muscle Fascia Graft In Type I Tympanoplasty
Journal Title: International Journal of Clinical & Experimental Otolaryngology (IJCEO) - Year 2018, Vol 4, Issue 1
Abstract
Aim: The present study aims to evaluate graft uptake rates and audiological results of type I tympanoplasty using sliced conchal cartilage reinforced with temporalis muscle fascia versus temporalis muscle fascia graft. Material & Methods: A retrospective study involving a total of 40 patients presenting with dry central perforation with intact and mobile ossicular chain and conductive type of hearing loss, visiting ENT outpatient department of Government Medical College, Amritsar were included in the study. These were randomly divided into two groups of twenty patients each with Group I patients undergoing Type I tympanoplasty with temporalis muscle fascia and Group II patients with sliced conchal cartilage as graft reinforced with temporalis fascia. A pure-tone audiometry was done within 1 week prior to surgery and at 3 months postoperatively to evaluate hearing status. Results: Graft take up rate in Group I was 85% while Group II patients had a take up rate of 95% (P < 0.01). The mean percentage improvement in pre-op pure tone average (PTA) and post-op PTA values in Group I and II was 14.91 (SD ± 9.741) and 14.48 (SD ± 9.366) respectively (p > 0.05). Conclusions: Sliced conchal cartilage reinforced with temporalis fascia is a reliable technique for tympanoplasty, especially in large perforations with better graft uptake rates compared to temporalis fascia without affecting audiometric results.
Authors and Affiliations
Satinder Pal Singh
Keywords
Related Articles
- EP ID EP529976
- DOI 10.19070/2572-732X-1800017
- Views 117
- Downloads 0
Aesthethic Complications of Nasal Septum Resection
Violation of nasal breathing mostly related to nasal septum deformation, which is an indication to perform septoplasty. This article represents our observations about the possible cause of aesthetic complications after n...
Outcome Measurement Between Transtympanic and Tympanomeatal Flap Elevation Approach in Myringoplasty: A Day Care Procedure
Background: Transtympanic myringoplasty is an alternate technique that allows graft placement medial to tympanic membrane remnant through the perforation without the need for tympanomeatal flap elevation. Objectives: The...
Surgical Treatment of the Frontal Sinus Lateral Mucocele with Multiple Sinus Bony Wall Defects
Paranasal sinus mucocele is a cystic formation filled with mucus, resulting from the obstruction of sinus ostium. The most common place of mucocele localization is frontal sinus, which is due to its specific anatomical a...
Is there Optimal Behavioral Treatment Intensity for Dysphagia?
Purpose: Determining optimal intensity of behavioral treatment for dysphagia has been one of the most debated topics. The purpose of the current study was to systematically review the studies that offered evidence for be...
Angioleiomyoma of Nasal Septum: Case Report and Literature Review
Introduction: Angioleiomyoma is a benign soft tissue tumor of smooth muscle origin with a vascular component and is an uncommon form of leiomyoma. Angioleiomyoma presenting in the nasal cavity is exceedingly rare and the...