Comparative study of temporalis fascia graft, tragal cartilage graft and fascia lata in tubotympanic type of CSOM
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 9, Issue 1
Abstract
Background: Chronic Suppurative Otitis Media (CSOM) is frequently associated with symptoms of inflammation like discharge from the ear or pain. Tubotympanic type of chronic suppurative otitis media is characterized by a perforation of pars tensa, while marginal & attic perforations are pathognomonic of attico-antral variety. Objectives: To compare outcome of various graft material like temporalis fascia, fascia lata and truncal cartilage in Chronic Suppurative Otitis Media (CSOM) in tympanoplasty surgery Material and Methods: Total of 45 patients selected randomly as per inclusion criterias. Adequate history was taken, clinical, otoscopic and microscopic examination were done. Type 1 tympanoplasty was done in all patients using various graft materials. The results were evaluated in the form of rate of graft success, hearing gain, and the pre and post-operative Air Bone gap using SPSS vs 20. Results: In temporalis fascia graft 80% cases had infectious etiology, tragal cartilage graft group had 73.3% infectious etiology while in fascia lata group 86.7% cases had infectious etiology. The Fascia lata group and tragal cartilage group had 80% success rate while highest 86% success was seen with temporalis fascia graft group with only 14% failure rate in the same. All of the graft materials were having significantly low failure rate. All the graft methods were associated significantly in lowering the air bone gap. Tragal and temporalis graft had 1 early failure each, tragal group had most 2 cases with late failure and only 1 case of retraction seen which was present in temporalis fascia graft group. Conclusions: The post-operative hearing improvement depends not only on the graft material used and the type of tympanoplasty but also on the pre-operative status of the ossicular chain.
Authors and Affiliations
Sonali Uttamrao Landge, Prafful V Jatale, Vilas Kirdak, Sambhaji Chintale, Kaleem Shaikh
Keywords
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- EP ID EP467806
- DOI 10.26611/1016919
- Views 158
- Downloads 0
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