COMPARATIVE STUDY OF DIFFERENT GRAFT MATERIALS IN MYRINGOPLASTY- TYPE I TYMPANOPLASTY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 11
Abstract
BACKGROUND Chronic otitis media is defined as chronic inflammation of mucoperiosteal lining of part or whole of the middle ear cleft characterized by ear discharge, a permanent perforation of tympanic membrane and impairment in hearing. It is one of the most common causes of deafness and recurrent ear infections in developing countries like India. In bilateral disease, hearing handicap becomes more evident. Surgical management of perforation is needed if perforation fails to heal by conservative therapy. The objectives of this study were- 1) to study the graft uptake by different graft materials in myringoplasty. 2) to evaluate hearing improvement by different graft materials in myringoplasty. MATERIALS AND METHODS A total of 100 patients with CSOM tubotympanic type were selected who underwent myringoplasty with 5 types of graft materials, 1) temporalis fascia, 2) cartilage, 3) periosteum, 4) perichondrium, 5) fascia lata in Government ENT Hospital, Andhra Medical College, Visakhapatnam, during November 2016 to April 2018 were studied during a period of one and a half year, for sex and age variations, graft uptake, hearing improvement. RESULTS In our study, male preponderance was observed with 56% when compared to 44% females. The male female ratio was 1.27:1. The most commonly affected age group was 26-35 with 35% of patients falling into this category. Least commonly involved age group is 16-25 with 15% patients. Temporalis fascia and cartilage showed highest (100%) graft uptake while periosteum, perichondrium and fascia lata showed 90% uptake. Hearing improvement was best with temporalis fascia (100%) and least with cartilage (85%). CONCLUSION In this study, of different graft materials in myringoplasty- type 1 tympanoplasty, the temporalis fascia evolved as the best for both graft uptake and hearing improvement. Even though cartilage graft uptake was 100%, hearing improvement was 85%, the least in our study. The other three graft materials like periosteum, perichondrium and fascia lata can also be considered for myringoplasty as graft uptake and hearing improvement were 90% in each. Our study showed male preponderance with 56%, compared to females 44% in need of myringoplasty. Age group of 26-35 years dominated with 35% patients belonging to this age category.
Authors and Affiliations
Raghu Chanakya K. S. , Shekar Naik V. , Bhagya Jyothi Bodapati, Narmada Vatti, Suryaprakasa Rao S.
Keywords
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- EP ID EP615540
- DOI 10.18410/jebmh/2019/180
- Views 88
- Downloads 0
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