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 105
- Downloads 0
Aetiology and Management of Epistaxis - A Prospective Clinical Study
Objective : Epistaxis is a common clinical problem and is an uncomfortable experience that can cause great apprehension and anxiety in patients. Most nose bleed are benign, spontaneous and self-limiting. Epistaxis can ra...
Multifocal Dermatofibrosarcoma Protuberans
Background: Dermatofibrosarcoma Protuberans (DFSP) is an exceptionally rare soft tissue tumor that spreads locally with rare metastasis limited to brain, lung, and liver. Immunocompetent patients presenting with more tha...
A Combined Endolaryngeal Approach for Bilateral Vocal Fold Immobility: Microlaryngoscopic Submucosal Cordotomy and Endo-Extralaryngeal Triple-Suture Lateralization
Bilateral vocal fold immobility (BVFI) is a challenging clinical entity for laryngologists. The voice may be nearly normal, but mostly there is a severe inspiratory deficiency. The patients may need surgical intervention...
Upregulation of the Major Histocompatibility Complex (MHC-I) in Auditory Hair Cells Exposed To Interferon Alpha
Previous studies have reported hearing loss in patients undergoing interferon-alpha (IFN-α) therapy. The mechanisms by which IFN-α causes hearing loss remain poorly understood. This study was designed to investigate if t...
Voice Therapy outcomes in Type-I Sulcus Vocalis: Case Studies
In Sulcus vocalis, a groove on the medial surface of the free edge of varying etiologies in which the mucosal waves are diminished or absent during phonation affects the vocal efficiency. Two cases of physiological based...