Three Autologous Substitutes for Myringoplasty

Abstract

Temporal fascia, tragus perichondrium, and tragus cartilage-perichondrium composite grafts are all suitable for myringoplasty after a minor tympanic membrane perforation. However, cartilage-perichondrium composite graft material for myringoplasty has superior long-term benefits in regard to both hearing improvements and tympanic membrane morphology, which are especially evident in cases with large perforations.

Comparative study of sliced tragal cartilage and temporalis fascia in type I tympanoplasty

“…Perforations affecting more than 50 per cent of the tympanic membrane area were defined as large. 1,6 Post-operative anatomical results There were no recurrent tympanic membrane defects in any of the 118 patients with small perforations after surgery using either graft material after 4 years; the graft acceptance rate was 100 per cent for this group. Anatomical results for the 272 patients with large perforations are shown in Tables III and IV.…”

“…1 Since the earliest attempts at tympanic membrane perforation closure, various graft materials have been used for reconstruction. Temporalis fascia remains the most frequently used graft material.…”

Comparison of cartilage with temporalis fascia tympanoplasty: A meta‐analysis of comparative studies

“…A total of 37 articles were finally included in our meta‐analysis, resulting in a pooled population of 3,606 patients: 1,795 undergoing cartilage tympanoplasty and 1,811 undergoing fascia tympanoplasty. There were 11 PCSs, three of which were randomized .…”

Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors

“…[22] Based on these study results, PCIG can be preferred to TMF and perichondrium, particularly in large perforations, [23] and when the postero-superior quadrant of TM prevents retraction pouch recurrence. [24] Additionally, presence of hyaline in the remnant tympanic membrane may lead to substantial graft failure, due to inadequate tissue supply.…”