Comparative study between endoscopic cartilage myringoplasty and endoscopic temporalis fascia myringoplasty

P. Chozhan, M. Sankara Subramanian, D. Kannathal, R. Malarvizhi


Background: Myringoplasty is a common ear surgery performed all over the world. This study is focused on prospective comparative study using two different graft materials.

Methods: This was a prospective study done in the Department of ENT Stanley Medical College, Chennai during the period from March 2013 to September 2013. Sample size was 60 patients. Follow up was done till 6 months.  

Results: Graft acceptance was achieved in 28 patients (93%) who underwent palisade cartilage myringoplasty, whereas it was achieved in 24 patients (80%) in the temporalis fascia myringoplasty group.

Conclusions: The outcomes in our patient series indicate that cartilage myringoplasty achieves good results. Cartilage, a very effective material for the reconstruction of the TM and grafts can provide an excellent anatomical result, perfect stability and good functional outcome.


Myringoplasty, Cartilage, Temporalis fascia, Endoscopic

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Scott-Brown Otolaryngology and Head and Neck Surgery. Edition 7. 2008.

Committee on Conservation of Hearing, American Academy of Ophthalmology and Otolaryngology: Standard classification for surgery of chronic ear disease. Arch Tool. 1965;81:204.

Storrs LA. Myringoplasty with the use of fascia grafts. Arch Otolaryngol. 1961;74:65.

Indorewala S. Dimensional stability of the free fascia grafts: An animal experiment. Laryngoscope. 2002;112(4):727-30.

Indorewala S, Pagare R, Aboojiwala S, Barpande S. Dimensional stability of the free fascia grafts: A human study. Laryngoscope. 2004;114(3):543-7.

Sheehy JL. Surgery of chronic otitis media. English otolaryngology. Philadelphia: Harperand Row; 1985: 1-86.

Tos M. Cartilage tympanoplasty, classification of methods technique results. Otology J. 2009;1:7.

Neumann A, Schultz-Coulon H, Jahnke K. Type III tympanoplasty applying the palisade cartilage technique: A study of 61 cases. Otol Neurotol. 2003;24:33-7.

Kazikdas KC, Onal K, Boyraz I. Palisade cartilage tympanoplasty for management of perforations: A comparison with the temporalis fascia technique. Eur Arch Otol. 2007;264:985-9.

Levinson RM. Cartilage-perichondrium composite graft tympanoplasty in the treatment of posterior atelectatic retraction pockets. Laryngoscope. 1987;97:1069-74.

Dornhoffer JL. Surgical management of atelectatic ear. Am J Otol. 2000;21:315-21.

Kirzali T. Hearing results after primary cartilage tympanoplasty with island technique. Am A Otol 2005;132:933-7.

Cabra J, Moñux A. Efficacy of cartilage palisade tympanoplasty: randomized controlled trial. Otol Neurotol. 2010;31(4):589-95.

Velepic M, Bonifacic M, Manestar D. Cartilage palisade tympanoplasty and diving. Otol Neurotol. 2001;22:430-2.

Andersen J, Cayé-Thomasen P, Tos M. A comparison of fascia and cartilage palisades in tympanoplasty after surgery for sinus and tensa retraction cholesteatoma in children. Otol Neurotol. 2004;25:856-63.