DOI: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20221884
Published: 2022-07-26

Comparative study of tympanoplasty using endomeatal approach using tragal cartilage and perichondrium with postauricular approach using temporalis fascia graft

Katari Yamuna, Teja ., Sowmya Lanke

Abstract


Background: Chronic suppurative otitis media is a disease which is a major cause of morbidity in our country. A large proportion of patients have safe (mucosal) chronic suppurative otitis media which leads to ear discharge and deafness which hampers the productivity of many individuals. Otolaryngologists play an important role in its correction and amelioration by conservative or operative procedures. One such procedure is tympanoplasty.

Methods: Patients of either sex having symptoms and signs suggestive of chronic suppurative otitis media and fulfilling the inclusion and exclusion criteria are taken for the study My sample size is 60 and these 60 patients were divided into 2 groups. A. tympanoplasty with temporalis fascia graft. B. tympanoplasty with cartilage island graft. 30 patients were included in each group.  

Results: In the cartilage island group, the graft uptake rate was 96.7% as compared to the temporalis fascia group in which the same was 90%. There is no significant difference in Air Bne gap between 2 groups.

Conclusions: Cartilage Island graft is as good a graft material as temporalis fascia for tympanoplasty.


Keywords


Chronic suppurative otitis media, Temporalis fascia, Cartilage Island graft

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References


Gulya AJ, Minor LB, Poe DS. GlasscockShambaugh. Surgery of the ear, Tympanoplasty: Tympanic Membrane Repair: 6th edition 2010;6:465-6.

Tong, Lop, Van Hasselt et al: The American Journal of otology. 2000;(21):24-27.

Tos Mirko. Manual of middle ear surgery, Approaches, Myringoplasty, Ossiculoplasty and Tyampanoplasty. 3rd edition 1993;1:7-10.

Janse C. Cartilage tympanoplasty. Laryngoscope. 1963;73:1288-302.

Gerber MJ, Mason JC, Lambet PR. Hearing results after primary cartilage tympanoplasty. Laryngoscope. 2000;110:1994-9.

Dornhoffer JL. Hearing results with cartilage tympanoplasty. Laryngoscope. 1997;107(8):1094-9.

Zahnert T, Huttenbrink KB, Murbe D. Experimental investigations of the use of cartilage in tympanic membrane reconstruction. Am J Otol. 2000;21(3):322-8.

Iqbal NJ, Mehmood K. Type I Tympanoplasty underlay technique and results. 2001;15(2):77-80.

Tayfun K, Cem B, Rasit M. Facial nerve neuroma: clinical, diagnostic, and surgical features. Otolaryngol Head Neck Surg. 2005;132(6):933-7.

Goodhill V. Tympanoplasty with perichondral graft. Archieves Otolaryngol. 1964;79:131-7.

Mikaelian. Perichondrial cartilage island graft in one stage tympano - ossiculoplasty. Laryngoscope. 1986;96;237-9.

Quraishi MS. Day case myringoplasty using tragal perichondrium. Clin Otolaryngol. 1995;20:12-4.

Sheehy, Glasscock. Tympanic membrane grafting with Temporalis fascia. Archieves Otolaryngol. 1967;86:39l402.

Zakzouk S, Attallah M. Transcanal Tympanoplasty; Dura versus Temporalis fascia. ENT J. 1992;71(11):590-59.