A comparative study of hearing outcomes in type I tympanoplasty with temporalis fascia and tragal cartilage-perichondrium composite graft
Journal Title: Medpulse International Journal of ENT - Year 2017, Vol 1, Issue 3
Abstract
Background: Type I tympanoplasty is the commonest procedure done in cases of chronic suppurative otitis media. A variety of graft materials are being used to reconstruct the defect in the tympanic membrane. This study compares the post operative hearing outcomes of tragal cartilage- perichondrium composite graft with temporalis fascia graft. Methods This prospective study was done in a medical college hospital over a period of 2years. Patients with CSOM (tubotympanic type) who underwent Type I tympanoplasty with either temporalis fascia or tragal cartilage – perichondrium composite graft were included in this study. Their pre operative and post operative (6 months post operative) audiograms were analysed in terms of AB gap closure and results documented. Results: Of the 80 patients we evaluated, the hearing gain was about 78% in the temporalis fascia graft and 77% in the tragal cartilage – perichondrium group with no statistical significance of difference between them. Conclusion: Both tragal cartilage perichondrium composite graft and temporalis fascia can be used as autograft material to achieve good hearing results.
Authors and Affiliations
Subramania Biju C, Jude Anselm Shyras D
Keywords
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- EP ID EP261526
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