Comparison of otological and audiological outcome of type-I tympanoplasty using composite tragal perichondrium and temporalis fascia as graft

Sharma, Neeraj; Sharma, Pritosh; Sharma, Prateek; Gourav, Kumar; Goyal, V. P.

doi:10.18203/issn.2454-5929.ijohns20183455

Cited by 5 publications

(5 citation statements)

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“…In comparison of Perichondrial graft uptake Nitin p et al [13] A comparative study conducted by Avani Jain et al [19] between island cartilage graft vs temporalis fascia graft in type 1 tympanoplasty showed a graft uptake rate of 97.1% for island cartilage graft which is close to our graft uptake rate of 100%.…”

Section: Type Of Cartilage Techniquesupporting

confidence: 76%

“…Our literature search has not revelaed a cartilage graft uptake of 100% in perichondrial graft as seen in the present study. In comparison of Temporalis fascia graft uptake with other studies Lackany et al [14] showed a graft uptake of 80%, Dabhorkar et al [18] 84%, Patil et al [17] 86.67% , Nitin p et al [13] 90% and Sprem N et al [15] 91% of successful temporalis fascia graft uptake which showed a lower value when compared to the present study where the graft uptake was 93.3%. On the contrary Harman and tang [20] showed 95.3% of temporalis fascia graft, Mathai et al [21] 95%, Singh et al [11] 95% which showed higher value when compared to the present study of 93.3% successful temporalis fascia graft uptake.…”

Section: Type Of Cartilage Techniquecontrasting

confidence: 48%

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Efficacy of composite perichondrial–chondral graft in type 1 tympanoplasty a comparative study

Sundararajan

Rao

2017

Trop J Ophthalmol Otolaryngol

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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.

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Section: Type Of Cartilage Techniquesupporting

confidence: 76%

Section: Type Of Cartilage Techniquecontrasting

confidence: 48%

Efficacy of composite perichondrial–chondral graft in type 1 tympanoplasty a comparative study

Sundararajan

Rao

2017

Trop J Ophthalmol Otolaryngol

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“…In a similar study by Sharma et al, the mean AB gap measured pre operatively in cartilage group was 36.38±6.10 dB which improved to 18.13±5.8 dB post operatively. 23 Fascia group showed improvement from 28.73±5.82 to 15.23±8.14. Results were statiscally highly significant and comparable in both cartilage and fascia group in terms of hearing gain after tympanoplasty.…”

Section: Discussionmentioning

confidence: 89%

Role of cartilage graft in type 1 tympanoplasty: audiological and otologic outcomes

Kaur

Bhagat

Sahni

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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Background: Temporalis fascia is the most commonly used graft material for the tympanic membrane perforations. Due to high failure rate of temporalis fascia in adhesive otitis media, large perforations and advanced middle ear pathology alternate graft materials which are more rigid and resistant to infection are being used. Cartilage graft has shown to be a promising graft material in such cases. The purpose of this study was to evaluate the functional and anatomic results with cartilage graft in type 1 tympanoplasty.Methods: The present prospective study was conducted among 40 patients of chronic otitis media between 11-60 years of age requiring tympanoplasty in department of ear, nose and throat (ENT) in Government Medical College and Rajindra Hospital, Patiala. Results: The overall success rate of type 1 cartilage tympanoplasty was 85% in terms of perforation closure and post operative pure tone audiometry (PTA) at 6 weeks was 37.24 and at 12 weeks PTA was 34.27 The p value was <0.001 which was found to be significant. The AB gap closure at 6 weeks post op was 6.79 and at 12 weeks 9.76±2.12 dB.Conclusions: Based on the results of this study, it can be concluded that cartilage is more effective graft material in high-risk perforations, chronic ET dysfunction than fascia and audiological improvement with cartilage is found to be comparable with temporalis fascia.

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“…The commonest presenting complaint was otorrhea (100%) followed by hearing loss (69.1%) 12.7% of patients had ringing sensation of the ear, 4.5% had vertigo and 5.4% had associated ear ache. In the study conducted by Sharma N et al 6 the commonest presenting complaint was ear discharge (100%) followed by hearing loss (95%), tinnitus (6.25%) and earache (3.75%), none had vertigo. Majority of the patients had a long standing disease with duration ranging from 3 months to 40 years.…”

Section: Discussionmentioning

confidence: 95%

A Comparative Study on Morphological and Audiological Outcome in Type Ι Tympanoplasty for Chronic Otitis Media Mucosal Disease Using Temporalis Fascia versus Cartilage Graft

Raman¹

2019

jmscr

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Objective: To compare the morphological and audiological outcome of Type I tympanoplasty in Chronic otitis media mucosal disease using temporalis fascia and cartilage graft. Materials and Methods: A prospective comparative study among 110 patients with complaints of ear discharge and hearing loss due to Chronic otitis media mucosal disease who underwent Type I tympanoplasty. There were 52 patients where cartilage graft was used and 58 patients where temporalis fascia graft was used. The pre-operative clinical and audiological findings of the study subjects were noted using a proforma. In the post-operative period, they were followed up after 3 months and 6 months. At 3 rd month, patients were assessed for perforation closure and audiological evaluation by Tuning Fork Test and Pure Tone Audiometry. At 6 th month patients were subjected to clinical examination for integrity of tympanic membrane, PTA and Tympanometry. Results: Otorrhea was the commonest presenting complaint and majority had a large central perforation. The preoperative hearing loss was between 25dB to 45 dB. Majority of the cases had post aural approach for surgery. Tympanosclerosis was seen in 24 patients. Temporalis fascia graft was used in 58 patients, and cartilage graft in 52 patients. Among the temporalis fascia group graft failure was seen in 19 cases while in cartilage graft group there was only 3 cases. The AB gap closure of more than or equal to 10 dB in temporalis fascia was 82.8% while that in cartilage graft was 94.2%. The tympanometry curve of A or C was considered as a successful outcome. In 53% of patients with cartilage graft A or C was obtained, while in temporalis fascia graft group it was 47%. In the short term follow up of 6 months it was found that cartilage graft had reduced chance of re-perforation and better hearing

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Comparison of otological and audiological outcome of type-I tympanoplasty using composite tragal perichondrium and temporalis fascia as graft

Cited by 5 publications

References 15 publications

Efficacy of composite perichondrial–chondral graft in type 1 tympanoplasty a comparative study

Efficacy of composite perichondrial–chondral graft in type 1 tympanoplasty a comparative study

Role of cartilage graft in type 1 tympanoplasty: audiological and otologic outcomes

A Comparative Study on Morphological and Audiological Outcome in Type Ι Tympanoplasty for Chronic Otitis Media Mucosal Disease Using Temporalis Fascia versus Cartilage Graft

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