Palisade cartilage tympanoplasty for management of subtotal perforations: a comparison with the temporalis fascia technique

2007 ◽  
Vol 264 (9) ◽  
pp. 985-989 ◽  
Author(s):  
K. Cagdas Kazikdas ◽  
Kazim Onal ◽  
Ismail Boyraz ◽  
Erdem Karabulut
Keyword(s):  
Temporalis Fascia ◽  
Cartilage Tympanoplasty

Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media

2011 ◽  
Vol 126 (1) ◽  
pp. 22-25 ◽  
Author(s):  
K Onal ◽  
S Arslanoglu ◽  
M Songu ◽  
U Demiray ◽  
I A Demirpehlivan
Keyword(s):  
Standard Deviation ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Functional Results ◽  
Type I ◽  
Temporalis Fascia ◽  
Cartilage Tympanoplasty ◽  
The Mean ◽  
Graft Success ◽  
And Cartilage

AbstractObjectives:To compare the functional results of type I tympanoplasty performed with either temporalis fascia or a perichondrium and cartilage island flap, in patients with bilateral chronic otitis media.Method:The study included primary tympanoplasty cases with a subtotal perforation, an intact ossicular chain, a dry ear for at least one month and normal middle-ear mucosa, together with contralateral tympanic membrane perforation. Temporalis fascia tympanoplasty was undertaken in 41 patients, and cartilage tympanoplasty in 39 patients.Results:The graft success rate was 65.9 per cent for the fascia group and 92.3 per cent for the cartilage group. Post-operatively, the mean ± standard deviation air conduction threshold was 28.54 ± 14.20 dB for the fascia group and 22.97 ± 8.37 dB for the cartilage group, while the mean ± standard deviation bone conduction threshold was 11.71 ± 8.50 dB for the fascia group and 7.15 ± 5.56 dB for the cartilage group.Conclusion:In patients with bilateral chronic otitis media, cartilage tympanoplasty seems to provide better hearing results and graft success rates.

scholarly journals Comparison of Reinforcement Cartilage Graft and Temporalis Fascia Graft in Type 1 Tympanoplasty

2021 ◽  
Vol 27 (2) ◽  
pp. 104-110
Author(s):  
Md Mainul Islam ◽  
Kanu Lal Saha ◽  
Harun Ar Rashid Talukder ◽  
Md Khalid Mahmud ◽  
Riashat Azim Majumder ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Uptake Rate ◽  
Cartilage Graft ◽  
Temporalis Fascia ◽  
Hearing Gain ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Cartilage Tympanoplasty

Background: Chronic otitis media (COM) is the long-standing infection of a part or whole of middle ear cleft characterized by ear discharge and perforation. It is the commonest ear problem in adult and children. Most common presenting symptoms are ear discharge, mild to severe hearing loss, sometimes tinnitus even vertigo. Treatment of COM is mainly operative. Inactive mucosal variety of COM presents with the perforation in tympanic membrane with non-inflamed middle ear mucosa. The treatment of inactive mucosal variety of COM is Type 1tympanoplasty. It can be done by conventional temporalis fascia or cartilage graft. Both have some merits and demerits. Objective: To compare the the outcomes between reinforcement cartilage graft and temporalis fascia graft in type -1 tympanoplasty. Methods: 86 (43 patients in each group) patients with COM (inactive mucosal) who were admitted in the department of Otolaryngology – Head and Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2018 to June 2019, and had fulfilled the inclusion and exclusion criteria were selected for the study. History, examinations, investigations were done. All patients underwent type 1 tympanoplasty. Prior to surgery relevant investigations were done and informed written consent was taken from all patients. In Group-A reinforcement cartilage tympanoplasty cases and in Group-B temporalis fascia tympanoplasty cases were placed. Post-operative graft uptake rate and hearing gain were compared in two groups Results: The surgical outcomes between reinforcement cartilage tympanoplasty in comparison with temporalis fascia tympanoplasty showed no significant difference of graft uptake rate and hearing gain. Conclusion: Cartilage tympanoplasty has been practised for reconstruction of perforated tympanic membrane in COM since long with variable results. Graft uptake rate in cartilage reinforcement is comparatively better than temporalis fascia graft. So, reinforcement cartilage graft can be adopted as an alternative to temporalis fascia graft in type- I tympanoplasty. Bangladesh J Otorhinolaryngol 2021; 27(2): 104-110

A short-term evaluation between the result of palisade cartilage tympanoplasty and temporalis fascia technique

2014 ◽  
Vol 20 (2) ◽  
pp. 63 ◽  
Author(s):  
Zafarullah Beigh ◽  
RafiqAhmad Pampori ◽  
Aleena Shafi ◽  
IrfanUl Shamas ◽  
Shakil Ahmad
Keyword(s):  
Temporalis Fascia ◽  
Short Term ◽  
Cartilage Tympanoplasty ◽  
Short Term Evaluation ◽  
Term Evaluation

Type I tympanoplasty with island chondro-perichondral tragal graft: the preferred technique?

2013 ◽  
Vol 127 (4) ◽  
pp. 354-358 ◽  
Author(s):  
E De Seta ◽  
D De Seta ◽  
E Covelli ◽  
M Viccaro ◽  
R Filipo
Keyword(s):  
Chronic Otitis Media ◽  
Functional Results ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Temporalis Fascia ◽  
Cartilage Tympanoplasty ◽  
Membrane Perforation ◽  
Type I Tympanoplasty ◽  
One Year ◽  
Retrospective Comparative Study

AbstractObjective:This retrospective, comparative study aimed to assess anatomical and functional results in a group of adults undergoing type I tympanoplasty for subtotal tympanic membrane perforation, using two different types of graft.Subjects and methods:The study included 106 patients affected by chronic otitis media, who underwent underlay type I tympanoplasty, 53 using an autologous chondro-perichondral tragal graft and 53 using temporalis fascia. Anatomical and functional outcomes were evaluated over time.Results:Audiometric results comparing the cartilage and fascia groups at six months and one year after surgery showed no statistically significant differences. Assessment of anatomical outcomes indicated a greater number of complications in the fascia group.Conclusion:Functional results indicate the validity of the cartilage tympanoplasty, while anatomical results indicate a slightly better outcome in terms of graft re-perforation and retraction, compared with temporalis fascia at one-year follow up. These results suggest that the cartilage technique is preferable for type I tympanoplasty.

scholarly journals Comparison of results between cartilage tympanoplasty and temporalis fascia tympanoplasty.

2020 ◽  
Vol 27 (09) ◽  
pp. 1915-1921
Author(s):  
Tahir Hussain Khan ◽  
Humaira Tahir ◽  
Ashfaq Hussain Rana ◽  
Sohail Malik ◽  
Shahid Akhtar
Keyword(s):  
Tympanic Membrane ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
P Value ◽  
Temporalis Fascia ◽  
System Integrity ◽  
Group I ◽  
Duration Of Surgery ◽  
Cartilage Tympanoplasty ◽  
Group Ii

Objectives: To compare the results after performing cartilage tympanoplasty and temporalis fascia tympanoplasty. Study Design: Analytical/Observational study. Setting: Two different hospitals. Social Security Landhi Hospital Karachi and Al-Tibri Medical College & Hospital Malir Karachi. Period: July 2017 to June 2018. Material & Methods: 76 patients were included for this study with both genders who had dry tympanic membrane perforations after taking antibiotics. Age ranges between 18 to 40 years. Patients were divided into two groups, group-I and group-II. In group-I, temporalis fascia tympanoplasty performed under microscope with post aural approach and in group-II, tragal cartilage tympanoplasty performed with the oto-endoscope via permeatal approach. Observed and compare the results of both procedure after 1 day, after 1 week, after 1 month and after 2 months. Variables were bleeding, pain, hearing assessment with pure tone audiometry (PTA) in which air conduction, bone conduction and air-bone gap (AB-gap) measured, Vomiting, vertigo and duration of surgery. Weber test done in all patients on very next day after surgeries in both groups to exclude the damage of vestibulo-cochlear system. Integrity of grafted tympanic membrane examined with oto-endoscope. Results: Weber test performed on 1st post-operated day, it was lateralized towards operated ear which indicate the safety of inner ear. Vomiting and vertigo not found after tympanoplasty in both groups which indicate the safety of vestibular system. There was no blood soaked guaze seen after tympanoplasty in group-II (cartilage tympanoplasty). Bleeding was less in group-II as compare to group-I. 37 patients out of 38 had intact grafted tympanic membrane in group-I while all (38) patients had intact grafted tympanic membrane in group-II. Mean duration of surgery was 65.1 +3.7 minutes in group-II (cartilage tympanoplasty) and mean duration of surgery was 82.0 + 5.6 minutes in group-I (temporalis fascia tympanoplasty). P value was <0.001 is significant. Duration of surgery was less in group-II. Hearing was also improved in both groups after tympanoplasty. Post-operated AB-gap reduction seen in all patients of both groups. Conclusion: Results of both temporalis fascia and cartilage tympanoplasty were almost same but cartilage tympanoplasty is better because it consumed less time, less post-operated bleeding and perception of pain were also less.

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

2015 ◽  
Vol 129 (1) ◽  
pp. 16-22 ◽  
Author(s):  
M M Khan ◽  
S R Parab
Keyword(s):  
Statistical Analysis ◽  
Comparative Study ◽  
Retrospective Review ◽  
Outcome Data ◽  
Type I ◽  
Cartilage Graft ◽  
Temporalis Fascia ◽  
Cartilage Tympanoplasty ◽  
Type I Tympanoplasty

AbstractObjective:To compare anatomical and audiological results using sliced tragal cartilage and temporalis fascia in type I tympanoplasty.Method:A retrospective review was undertaken of primary tympanoplasties using sliced tragal cartilage and temporalis fascia from May 2005 to January 2008. In total, 223 ears were operated on using sliced tragal cartilage graft and 167 using temporalis fascia. Statistical analysis of the outcome data was performed.Results:At the two-year and four-year follow ups, successful closure of the tympanic membrane was achieved in 98.20 per cent and 97.75 per cent, respectively, of the cartilage group compared with 87.42 per cent and 82.63 per cent, respectively, of the temporalis fascia group. At the four-year follow up, the average air–bone gap was 7.10 ± 3.01 dB in the cartilage group and 8.05 ± 3.22 dB in the temporalis fascia group.Conclusion:The overall success rate for primary cartilage tympanoplasty is higher when using sliced cartilage than with temporalis fascia grafting.

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