Cartilage perichondrium composite graft myringoplasty: A review
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 2
Abstract
Background: Chronic suppurative otitis media is a major cause of tympanic membrane perforation in the developing world. Surgical intervention in the terms of “Myringoplasty” is the treatment of choice for effective closure of tympanic membrane perforation. Today most commonly used grafts are temporalis fascia and tragal perichondrium. Aims and Objectives: To evaluate the result of cartilage perichondrium graft in myringoplasty. Material and Methods: This study was conducted in the department of ENT and Head and Neck Surgery S.M.G.S Hospital G.M.C Jammu for a period of one year connecting from October 2015 to October 2016. This study includes a detailed history and complete physical examination with relevant investigations in 30 cases of safe type of chronic suppurative otitis media. Myringoplasty using cartilage perichondrium graft was conducted in all the cases. The hearing results were compared in terms of post-operative average ABG (air-bone gap) and ABG closure. Summary and Conclusion: In the present prospective study, 30 patients underwent myringoplasty procedure in which composite cartilage graft was used as graft material. 28 (93.33%) ear grafts were intact and in place. While as there were 2 (6.67%) cases of graft failure. The comparison of pre-operative with post operative air-bone gap showed a significant difference. Mean value of ABG pre operative was 31.06 ± 6.29 dB. Mean value of ABG post operative third month was 14.27 ± 6.43 dB. Hence it is concluded that the use of cartilage perichondrium graft is successful in perforation closure and hearing improvement.
Authors and Affiliations
K P Singh, Manish Sharma, Sumeet Angral
Keywords
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