A comparative study of temporalis fascia versus tragal perichondrium graft in myringoplasty

Authors

  • Arun A. Jose Department of ENT, MGM Muthoot Hospitals, Kozhencherry, Kerala, India
  • Nirmal C. Venkataramanujam Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pillaiyarkuppam, Pondicherry, India
  • Padmanabhan Karthikeyan Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pillaiyarkuppam, Pondicherry, India
  • Ramiya R. Kaipuzha Department of Otorhinolaryngology and Head and Neck Surgery, Jahra Hospital, Al Jahra, Kuwait
  • Davis Thomas Pulimoottil Department of ENT, Al Azhar Medical College and Super Specialty Hospital, Thodupuzha, Kerala, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20212452

Keywords:

Myringoplasty, Temporalis fascia, Tragal perichondrium, Graft take rate

Abstract

Background: This study aimed to compare the efficacy of temporalis fascia and tragal perichondrium grafts in myringoplasty and to assess the hearing improvement following surgery.

Methods: This was a clinical prospective study involving 50 patients of chronic suppurative otitis media inactive mucosal disease who were assigned to two groups. Group I was temporalis fascia group and group II was tragal perichondrium group and subsequently underwent myringoplasty. Patients were followed up at 3 and 6 months.

Results: There was a preponderance of ear disease among children, with a male to female ratio of 1:1.63. Preoperative dry ear for 1-6 months was associated with 82.9% success rate (group I 76.5%, group II 87.5%). Patients with cellular mastoids were associated with 100% success rate.

Conclusions: In this study we found that patients with cellular mastoids and dry ear for 1-6 months were associated with higher success rates. The study also revealed that in terms of hearing gain postoperatively, the temporalis fascia graft fared slightly better than the tragal perichondrium graft. Tragal perichondrium and temporalis fascia grafts appear to have almost similar graft take rates.

Author Biographies

Arun A. Jose, Department of ENT, MGM Muthoot Hospitals, Kozhencherry, Kerala, India

Consultant, Department of ENT

Nirmal C. Venkataramanujam, Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pillaiyarkuppam, Pondicherry, India

Professor, Department of Otorhinolaryngology and Head and Neck Surgery

Padmanabhan Karthikeyan, Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pillaiyarkuppam, Pondicherry, India

Head of Department, Department of Otorhinolaryngology and Head and Neck Surgery

Ramiya R. Kaipuzha, Department of Otorhinolaryngology and Head and Neck Surgery, Jahra Hospital, Al Jahra, Kuwait

Registrar, Department of Otorhinolaryngology and Head and Neck Surgery

Davis Thomas Pulimoottil, Department of ENT, Al Azhar Medical College and Super Specialty Hospital, Thodupuzha, Kerala, India

Assistant Professor, Department of ENT

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Published

2021-06-23

Issue

Vol. 7 No. 7 (2021): July 2021

Section

Original Research Articles