Graft materials used in myringoplasty; Our experience
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 7, Issue 3
Abstract
Aim: To compare the hearing improvement and the graft take-up in patients with inactive mucosal type chronic otitis media undergoning myringoplasty surgery using two types of the graft materials. Materials and methods: Total of 84 patients were taken for the study. Myringoplasty was in all the patient under GA Both temporalis fascia and conchal perichodrium were used in equally divided groups All patients were compared for both hearing improvement and graft take-up post operatively after 3 months. Results: The reduction of air-born gap in the group receiving temporalis fascia was 9.68 dB and the average reduction of air-bone gap in the patients receiving conchal perichondrium was 8.41 Db. According to these this study temporalis fascia, achieved the maximum hearing improvement. Also the failure rate of grafts with temporalis fascia was less (7%) compared to conchal perichondrium with a failure rate of 15% Conclusion: According to our experience the temporalis fascia graft is better than cochal perichondrial graft for closure of perforations in inactive mucosal type of chronic otitis media with central perforation. The study showed the maximum hearing improvement and minimal the failure rate in group receiving temporalis fascia graft. The hearing improvement was better in anterior type of perforations, than in posterior or large central perforations in the present study.
Authors and Affiliations
Sridhara Narayanan, Ramesh Kumar S
Keywords
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