Comparison of outcomes of palisade cartilage with temporalis fascia following tympanoplasty at a tertiary care centre in Nepal

Authors

  • Rahul K. Jaiswal Department of Otorhinolaryngology & Head and Neck Surgery, B.P.Koirala Institute of Health Sciences, Dharan, Nepal http://orcid.org/0000-0003-4977-3947
  • Shyam Thapa Chettri Department of Otorhinolaryngology & Head and Neck Surgery, B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Shankar P. Shah Department of Otorhinolaryngology & Head and Neck Surgery, B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Smriti Karki Department of Pathology, B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Bajarang P. Sah Department of Otorhinolaryngology & Head and Neck Surgery, B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Deepak Paudel Department of Otorhinolaryngology & Head and Neck Surgery, B.P.Koirala Institute of Health Sciences, Dharan, Nepal

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20163470

Keywords:

Tympanoplasty, Palisade cartilage, Temporalis fascia

Abstract

Background: Mucosal type of chronic otitis media is a common disease worldwide with 5.2% prevalence in Nepal. Cartilage material is criticized in terms of hearing results due to its thickness. The objective of this study was to compare graft uptake and post-operative hearing of palisade cartilage with temporalis fascia following tympanoplasty.

Methods: A prospective randomized study conducted over 12 months included subjects of chronic otitis media mucosal inactive having dry ear for at least 4 weeks. 76 subjects were enrolled and reviewed on 6th post-operative day, 6th and 12th post-operative week. The graft uptake and post-operative hearing were evaluated. The results were compared within and between the groups.  

Results: The graft uptake on 42nd and 90th post-operative days were comparable with no statistical difference. The difference of mean pre-operative, 42nd and 90th post-operative air bone gaps in palisade cartilage and temporalis fascia were also comparable. The results were statistically significant, showing improvement in hearing after surgery. Closure of air-bone gap within 30 dB was achieved in 71.87% in temporalis fascia and 88.89% in palisade cartilage. The intergroup difference was not statistically significant.

Conclusions: The graft uptake rates and hearing results after palisade cartilage are similar to temporalis fascia.

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Published

2016-09-26

Issue

Vol. 2 No. 4 (2016): October-December 2016

Section

Original Research Articles