Is cartilage- perichondrium composite graft tympanoplasty the ideal treatment for revision tympanoplasty


  • Brajpal Singh Tyagi Department of ENT, Harsh ENT Hospital, Rajnagar, Ghaziabad, UP, India
  • Sushant Tyagi Department of ENT, Harsh ENT Hospital, Rajnagar, Ghaziabad, UP, India
  • Mohit Srivastava Department of ENT, SIIMS, Ghaziabad, UP, India
  • Amit Tyagi Department of ENT, Harsh ENT Hospital, Rajnagar, Ghaziabad, UP, India



CSOM, Revision tympanoplasty, Cartilage-perichondrium- composite graft


Background: The objective of the study was to evaluate the anatomical and audiological outcomes of cartilage-perichondrium composite graft tympanoplasty by underlay technique in revision tympanoplasties.

Methods: A series of 55 patients who underwent revision tympanoplasty with cartilage-perichondrium composite Island graft, at the department of Otorhinolaryngology, Harsh ENT Hospital, Ghaziabad. Tympanoplasty with cartilage-perichondrium composite island graft was done using underlay technique after slicing the cartilage with help of slicer. Ossiculoplasty was performed as and when needed.  

Results: Graft uptake rate was found to be 96.36% (53 of the 55 cases) in our study without any serious complications. Audiological outcomes with closure of 94.55% air bone gap within 0 to 30 dB was achieved (p <0.05).

Conclusions: Nearly 97% success rate can be achieved with cartilage-perichondrium composite graft tympanoplasty for Revision tympanoplasty.

Author Biographies

Brajpal Singh Tyagi, Department of ENT, Harsh ENT Hospital, Rajnagar, Ghaziabad, UP, India

department of ENT

Sushant Tyagi, Department of ENT, Harsh ENT Hospital, Rajnagar, Ghaziabad, UP, India

HARSH ENT Hospital, Ghaziabad.


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Original Research Articles