A SERIES OF CARTILAGE TYMPANOPLASTY BY VARIOUS TECHNIQUES IN 208 PATIENTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 35
Abstract
BACKGROUND For repair of the tympanic membrane, temporalis fascia has been regarded as the ideal graft material. Post-operative negative pressure causes failure of the grafting and requires some rigid grafting material. The purpose of this study was to analyse the anatomical and audiologic results of cartilage tympanoplasty for the management of difficult conditions such as cholesteatoma, recurrent perforation, and atelectasis. MATERIALS AND METHODS The study design was a prospective case series. This study was carried out on 208 patients who underwent cartilage tympanoplasty with the various techniques at Department of ENT and Head and Neck surgery JLN Medical College & Hospital between September 2015 and January 2018, with over 6 months of follow-up with different types of tragal cartilage support for fascia graft, chondroperichondrial cartilage grafts with a boomerang-shaped cartilage island, butterfly and palisade cartilage tympanoplasty techniques. Four-frequency (500, 1,000, 2,000, 3,000 Hz) pure-tone average air-bone gap (PTA-ABG) used for analysis of hearing results. Statistical results were compared using student t test. RESULTS In the present study, out of 208 patients 188 had sufficient data available for inclusion and outcomes analysis. In them 96 cases of high-risk perforation, 47 cholesteatoma, 29 cases of atelectasis and 16 cases posterosuperior granulations. There was a 11 decibel (dB) improvement in mean air conduction threshold post-operatively. Graft was taken up at 6 months by 89.90% patients. Results were statistically significant. CONCLUSION Cartilage tympanoplasty gives good anatomical and audiological results.
Authors and Affiliations
Yogendra Kumar Pareek, Yogesh Aseri, Digvijay Singh Rawat, Deendayal Gupta, Praveen Chandra Verma, Bhuvnesh Kishore Singh
Keywords
Related Articles
- EP ID EP571332
- DOI 10.18410/jebmh/2018/534
- Views 47
- Downloads 0
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