COMPARATIVE STUDY OF PALISADE CARTILAGE TYMPANOPLASTY WITH TEMPORALIS FASCIA TYMPANOPLASTY IN CSOM WITH SUBTOTAL PERFORATIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 34
Abstract
BACKGROUND CSOM is a very common cause of deafness in India. Tubotympanic type of CSOM is characterised by a permanent perforation in the tympanic membrane, which needs surgical closure by a graft material. The aim of this study is to assess and compare the graft acceptance rates and audiological outcomes of palisade cartilage tympanoplasty with those of temporalis fascia tympanoplasty in CSOM with subtotal perforation. MATERIALS AND METHODS A non-randomised controlled trial containing 50 patients with the diagnosis of CSOM with subtotal perforations attending the Department of ENT, KR Hospital between January 2017 and December 2017. Patients were divided into two groups with equal number of patients in each group. Detailed history and clinical examination along with PTA (Pure Tone Audiometry) was performed. Pre- and post-operative graft success results and hearing improvement results were assessed and compared. RESULTS Significant hearing improvement was seen in both types of surgeries. Graft success rates and hearing results were slightly better in temporalis fascia tympanoplasty than cartilage tympanoplasty, but the difference was not statistically significant. CONCLUSION Tympanoplasty is the surgical procedure done for the management of CSOM with subtotal perforation. Both temporalis fascia and cartilage are excellent graft materials for closure of perforations and hearing improvement. But there was no statistically significant difference in surgical success rate and hearing gain between the two groups.
Authors and Affiliations
Sathish Kumar K. N, M. K. Veenapani, Swathi V. M
Keywords
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- EP ID EP544732
- DOI 10.14260/jemds/2018/840
- Views 84
- Downloads 0
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