Comparative Study of Sliced Tragal Cartilage and Temporalis Fascia in Type I Tympanoplasty

Overview

Journal J Laryngol Otol

Publisher Cambridge University Press

Specialty Otorhinolaryngology

Date 2015 Jan 21

PMID 25602596

Citations 29

Authors

M M Khan

S R Parab

Affiliations

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Abstract

Objective: To compare anatomical and audiological results using sliced tragal cartilage and temporalis fascia in type I tympanoplasty.

Method: A retrospective review was undertaken of primary tympanoplasties using sliced tragal cartilage and temporalis fascia from May 2005 to January 2008. In total, 223 ears were operated on using sliced tragal cartilage graft and 167 using temporalis fascia. Statistical analysis of the outcome data was performed.

Results: At the two-year and four-year follow ups, successful closure of the tympanic membrane was achieved in 98.20 per cent and 97.75 per cent, respectively, of the cartilage group compared with 87.42 per cent and 82.63 per cent, respectively, of the temporalis fascia group. At the four-year follow up, the average air-bone gap was 7.10 ± 3.01 dB in the cartilage group and 8.05 ± 3.22 dB in the temporalis fascia group.

Conclusion: The overall success rate for primary cartilage tympanoplasty is higher when using sliced cartilage than with temporalis fascia grafting.

Citing Articles

Comparison of endoscopic tympanoplasty, cartilage vs. temporalis fascia in chronic suppurative otitis media with inactive mucosal disease: A prospective randomised study.

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To Study the Outcome of Cartilage Tympanoplasty Type I in Patients with Medium and Large Perforations Using 0.5 mm Sliced Conchal Cartilage Reinforced with Temporalis Fascia Grafts with 5 Years Follow-up.

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Khan M, Parab S Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):3865-3871.

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