Nasal septal cartilage allograft for myringoplasty – Our observations
Journal Title: Medpulse International Journal of ENT - Year 2017, Vol 5, Issue 2
Abstract
Aim: The purpose of the study was to analyze the morphological and functional outcomes in a series of 54 patients for whom type 1 tympanoplasty or myringoplasty was done using alcohol preserved nasal septal cartilage allograft through permeatal route. Materials and Methods: The study was a prospective study of 54 patients between August 2015 and January 2017. Patients were operated under microscope through permeatal route. 70% ethyl alcohol preserved allogenic nasal septal cartilage with thickness of around 0.5 mm was used for grafting. At the end of 3 months final assessment of morphological outcome i.e. intact tympanic membrane [ TM ] and functional outcome i.e. reduction in airbone gap [ABG] was done. Results: At the end of 3 months 51 patients [94.44%] had intact tympanic membrane, 49 patients [90.74%] had airbone gap less than 20 dB. The operative time taken for taken for 37 patients [ 68.51% ] was 30 – 45 min. 38 patients [70.37%] had returned to normal activity in 3 – 5 days. Conclusion: Allogenic nasal septal cartilage can be safely and effectively used for myringoplasty with good morphological and audiological results with benefits of reduced operating time, morbidity and no scar
Authors and Affiliations
Siva Subba Rao Pakanati, Uma Pokala
Keywords
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