COMPARISON OF SURGICAL OUTCOME IN PATIENT OF TYMPANOPLASTY WITH CARTILAGE (WITH PERICHONDRIUM) AND TEMPORALIS FASCIA GRAFT
Aim: Tympanoplasty is one of the most commonly performed procedure in ear disease by otorhinolaryngologists. Aim of this study is to compare surgical out come in patient of tympanoplasty, using temporalis fascia and cartilage as graft material.
Material and methods: This is a retrospective study of total 160 patients who underwent tympanoplasty surgery at RKDF MC & RC jatkhedi Bhopal hospital from 1 July 2015 to June 30 2017. Preoperative assessment and screening is carried out. In present study, we have compared the graft temporalis muscle fascia with cartilage with peri-chondrium with respect to healing rate, hearing improvement, retraction and re-perforation of graft and speech reception thresholds. 160 patients of chronic suppurative otitis media with pure conductive hearing loss were operated and studied.
Result: Cartilage (with perichondrium) graft was used in 85 patients and temporalis muscle fascia graft was use in 75 patients. Post-operative healing, hearing, re-perforation and retraction of graft with speech reception threshold were compared for both the graft materials. Follow up was done for 10 months. Increased Hearing with improvement in speech reception threshold were documented in 80 % of the cartilage group and 85 % of the fascial graft group. There was very non-significant difference in overall graft success with 83 % and 88% of graft found intact in fascia and cartilage group respectively. The mean improvement in speech reception threshold for both the study group was 10 -15 Db.Conclusion: The result of present study demonstrates that the hearing and speech reception threshold improvement with temporalis fascia was comparable to those after cartilage perichondrium graft tympanoplasty. The re-perforation rate is slightly in cartilage group with temporalis fascia. This can be concluded that cartilage with perichondrium can be considered a safe and even better option in patients of tympanoplasty.
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