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Introduction: Temporalis fascia is the most commonly used material for tympanic membrane reconstruction, followed by perichondrial graft. Objective: To compare the efficacy of cartilage graft versus temporalis fascia graft. Study Design is Randomised prospective study in ENT department of tertiary care hospital (NRI medical college and general hospital) Material and Methods: A sample size of 60 patients used, who were randomly divided into two groups-Group A (Perichondrial-chondral graft) and Group B (Temporalis fascia graft). They were subjected to a detailed history and clinical examination. After surgery, they were followed-up at one month, three months, and six months to check for graft uptake and hearing assessment byPure Tone Audiometry. Results: It was observed that in Group A 100% (30) of the patients achieved complete closure of tympanic membrane by the end of the first month, and it remained unchanged till the end of 6 months. In Group B, 96.6% (29) patients achieved complete closure by the end of the 1st month, and it reduced to 93.3% (28) at the end of six months.Conclusions: Although there is no statistical difference in graft uptake and hearing improvement between the groups, the graft uptake and hearing results for perichondrial-chondral graft in comparison with temporalis fascia grafts are slightly better.

Introduction: A number of published studies have compared the KTP laser with standard dissection technique for tonsillectomy and safety of the laser is well described. This study aims to have a comprehensive insight into the comparative clinical outcomes for conventional tonsillectomy with KTP-532 laser assisted tonsillectomy. Materials and Methods: Prospective, comparative study enrolling 60 patients with chronic adenotonsillitis who visited the department of ENT, NRI Medical college and General hospital of a Tertiary referral centre from June 2018 to July 2019. After confirming the diagnosis, the patients were subjected to a detailed history and clinical examination and the patients were divided into two groups-The patients (30 cases) in the first half of this period underwent conventional tonsillectomy whereas the rest (30 cases) underwent laser tonsillectomy. All patients in this study were assessed for operative time, blood loss, post-operative pain, tonsillar fossa healing and incidence of haemorrhage. The differences between studied groups less than 0.5 (p<0.05) considered significant statically. Results: It was observed that total time taken for surgery, mean blood loss, intra-op blood loss, and post-op pain at Day 0 were comparatively less in Group B. While post-op pain at Day 14 was less in Group A. Moreover, Post-op Pain at Day 7, incidence of haemorrhage and healing of tonsillar fossa showed no significant difference in both groups. Conclusion: Laser assisted tonsillectomy is a safe alternative to conventional tonsillectomy associated with low intraoperative bleeding and less time-consuming surgery when compared to conventional tonsillectomy.