DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20220147

A comparative study of temporalis fascia and fascia lata graft in type-1 tympanoplasty

Kirti P. Ambani, Amit B. Chavda, Shaili S. Shah, Urvish D. Patel, Ajay M. Mulani

Abstract


Background: Chronic Suppurative Otitis Media (CSOM) is most commonly faced otological condition by ENT surgeons. Tympanoplasty is the established surgical management for tympanic membrane perforation. In this study we are comparing temporalis fascia and fascia lata as graft material in type-1 tympanoplasty to compare the graft taken up and post-op hearing improvement.

Methods: A retrospective study over 80 patients with CSOM of mucosal type, dry ear for more than 6-8 weeks and the age of 15-60 years enrolled in the study. The patients who underwent the surgery for randomly assigned into 2 groups: group-1: tympanoplasty operated with temporalis fascia graft, group-2: tympanoplasty operated with fascia lata graft. All surgeries done under general anesthesia. The patients were evaluated post operatively in terms of graft taken up and hearing status.

Results: In our study post op tympanoplasty graft taken up with temporalis fascia was 86.36% whereas fascia lata graft contributed 88.88%. Hearing gain on an average with temporalis fascia graft was 11.46 dB while with fascia lata graft was 10.09 dB. Statistical data proved that there was no significant difference between two groups. So both groups had their own merits and demerits.

Conclusions: Overall graft uptake rate and hearing gain with temporalis fascia and fascia lata in type 1 tympanoplasty are almost equal. There was no significant difference in both groups so ultimately it is surgeon choice and level of expertise that decides use of graft material in tympanoplasty.


Keywords


Chronic suppurative otitis media, Tympanoplasty, Temporalis fascia, fascia lata

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References


Bansal M. Diseases of ear, nose, throat, head and neck surgery, 1st edition. 2013;209.

Vikassinha, Chayya V, Barot AB. Fat plug myringoplasty, cost effective surgery for small central perforation. world article in ear, nose and throat. 2009;2(2):2009.

Verma S. International Journal of otorhinolaryngology and Head & Neck surgery. 2019; 5(4)926-31.

Booth JB. Myringoplasty- the lessons of failure. J LaryngolOtol. 1974;88:1223-36.

Booth JB. Myringoplasty-Factors affecting results. Final report. J Laryngol Otol 1973;87:1039-84.

Brown S. Otolorhinolaryngology, Head and Neck Surgery. 7th edition.

Patil K. Evaluation of different graft material in type 1 tympanoplasty. Indian journal of otology. 2014;10:2-4.

Shah H. Overlay versus underlay type 1 tympanoplasty with various graft material: a prospective study, International journal of scientific research. 2014;8:0-4.

Tympanoplasty: factors influencing surgical outcome.

Singh B. Study of various grafts in closure of tympanic membrane perforation. Scholars journal of applied medical sciecences. 2015;3(3G):1509-15.

Grishma K. Comparative study of tympanoplasty done by temporalis fascia and fascia lata. Global journal for research analysis. 2015;8:12-4.

Mohite A. Comparative study of temporalis fascia and fascia lata graft in type 1 tympanoplasty. International journal of recent trends in science and technology. 2015;3:21-3.

Strahan RW, Acquarelli M, Ward PH, Jafek B. Tympanic membrane grafting. Analysis of materials and techniques. Ann Otol Rhinol Laryngol. 1971;80:85460.

Dabholkar JP, Vora K, Sikdar A. Comparative study of underlay tympanoplasty with temporalis fascia and tragal perichondrium. Indian J Otolaryngol Head Neck Surg. 2007;59:1169.

Sprem N, Branica S, Dawidowsky K. Tympanoplasty after war blast lesions of the eardrum: Retrospective study. Croat Med J. 2001;42:6425.

Mohite A. Comparative study of temporalis fascia and fascia lata graft in type 1 tympanoplasty, International journal of recent trends in science and technology. 2015;9:24-7.