COMPARISON BETWEEN TRAGAL CARTILAGE WITH PERICHONDRIUM AND TEMPORALIS FASCIA GRAFT BY UNDERLAY ENDOSCOPIC TYMPANOPLASTY

  • Muhammad Tahir Karachi Institute of Medical Sciences, Karachi Pakistan
  • Asim Abbass Karachi Institute of Medical Sciences, Karachi Pakistan
  • Faiz Ul Hassan Nawaz Karachi Institute of Medical Sciences, Karachi Pakistan
  • Syed Asad Shabir Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
  • Atif Rafique Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
Keywords: Endoscopic tympanoplasty, Tragal Cartilage with perichondrium graft, Temporalis fascia graft, Underlay technique tympanoplasty

Abstract

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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Published
2021-12-31
How to Cite
Tahir, M., Abbass, A., Nawaz, F. U., Shabir, S., & Rafique, A. (2021). COMPARISON BETWEEN TRAGAL CARTILAGE WITH PERICHONDRIUM AND TEMPORALIS FASCIA GRAFT BY UNDERLAY ENDOSCOPIC TYMPANOPLASTY. Pakistan Armed Forces Medical Journal, 71(Suppl-3), S622-25. https://doi.org/10.51253/pafmj.v71iSuppl-3.5819
Section
Original Articles