Comparison of half-thickness tragal cartilage graft to temporalis fascia graft Tympanoplasty Type I: a randomized control trial

Wahid, Fazal-I; Nagra, Sajid Rashid

doi:10.5455/jpma.16032

Cited by 3 publications

(2 citation statements)

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“…In his study, cartilage graft was successful in 96.7% cases. 14 There is no significant difference between two groups in term of ABG in our study that is in accordance with study conducted by Ozdamer k and et al 15 In another study Wahid et al, 16 concluded that The reduction in ABG and graft success half-thickness tragal cartilage and temporalis fascia tympanoplasty groups was statistically nonsignificant that is in accordance with our study. Similar results were seen in study conducted by Gun et al, 17 and Demirci et al, 18 so both grafts can be used by otologists depending upon their experiences and preferences.…”

Section: Discussionsupporting

confidence: 91%

Comparison Between Tragal Cartilage With Perichondrium and Temporalis Fascia Graft by Underlay Endoscopic Tympanoplasty

Tahir

Abbass

Nawaz

et al. 2021

PAFMJ

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Objective: To compare the results of tragal cartilage with perichondrium versus temporalis fascia graft in endoscopic tympanoplasty using underlay technique. Study Design: Comparative prospective study. Place and Duration of Study: Study conducted in Tertiary Care Hospital, Karachi, from Jul 2018 to Feb 2020. Methodology: Overall, 34 patients having permanent unilateral tympanic membrane perforations were included in this study, in whom underlay endoscopic tympanoplasty was performed. Group A patients underwent temporalis fascia graft while group B received a tragal cartilage with perichondrium graft. The success rate between groups was compared in respect of reduction in postoperative air-bone gap and healing of perforation. Results: The success rate of graft was 88% (30/34) in group A and 94% (32/34) in group B after 6 months follow-up, the difference was not found to be statistically significant (p=0.368). Hearing improvement in the form of closure of air bone gap in group A was from 24.52 ± 1.73 dB (decibel) to 13.56 ± 5.67s dB and in group B it was from 19.76 ± 3.47dB to 11.94 ± 3.9dB, the difference was not significant statistically (p=0.333). Conclusion: Keeping in view the results of our study, we conclude that both tragal cartilage with perichondrium and temporalis fascia graft are considered equally successful in endoscopic tympanoplasty.

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