A Comparative Study of Temporalis Fascia Graft and Full Thickness Tragal Island Cartilage Graft in Type 1 Tympanoplasty

2021 ◽  
Author(s):  
Deepakraj Venkatesan ◽  
Preethi Umamaheswaran ◽  
Ramkumar Vellikkannu ◽  
Senthil Kannan ◽  
Alagammai Sivaraman ◽  
...  
Keyword(s):  
Comparative Study ◽  
Cartilage Graft ◽  
Full Thickness ◽  
Temporalis Fascia ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft

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

scholarly journals A comparative study of post-operative outcomes in type 1 tympanoplasty using tragal chondroperichondrial shield graft and temporalis fascia graft

2020 ◽  
Vol 6 (5) ◽  
pp. 867
Author(s):  
Pradeep Kumar Muniasamy ◽  
Dharanya Gopalakrishnan Srinivasan ◽  
Prabu Velayutham ◽  
Nishanth Savery ◽  
Balasubramanian Krishnaswami ◽  
...  
Keyword(s):  
Comparative Study ◽  
Uptake Rate ◽  
P Value ◽  
Age Group ◽  
Temporalis Fascia ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Group 2 ◽  
Group 1

<p class="abstract"><strong>Background:</strong> Type 1 tympanoplasty is the reconstruction of perforated tympanic membrane with an intact and mobile ossicular chain. Among various autologous graft materials, temporalis fascia and tragal chondroperichondrium are commonly used, having their own merits and demerits. In our study, we have compared the results and postoperative outcomes of tympanoplasty using temporalis fascia and tragal chondroperichondrium.</p><p class="abstract"><strong>Methods:</strong> This prospective comparative study included 60 cases of chronic suppurative otitis media - tubotympanic disease (CSOM-TTD) in a tertiary care centre. They were randomised into two groups of 30 patients each and were subjected to tympanoplasty using either tragal cartilage-perichondrium (group 1) or temporalis fascia graft (group 2) from November 2017 to May 2019. Objective hearing improvement at 1st, 3rd and 6th month postoperative follow-up and graft uptake rate at 3rd month were compared.  </p><p class="abstract"><strong>Results:</strong> Incidence of cases was more in the age group between 31-45 years age group (53.3%). Graft uptake rate was 96.6% for temporalis fascia group and 83.33% for tragal group (p value - 0.194). Preoperative air-bone (AB) gap in group 1 was found to be 25±4.09 dB which improved to 11.73±2.21 dB at 6 months and in group 2, it was 25.7±3.94 dB which improved to 14.06±3.68 dB at 6 months. Mean improvement in hearing for tragal group (13.27 dB) was better than temporalis fascia group (11.64 dB) (p value &lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> Both temporalis fascia and tragal chondroperichondrium are suitable graft materials for tympanoplasty, although graft uptake was clinically better with the use of temporalis fascia.</p><p> </p>

Comparative study of use of dry and wet temporalis fascia Graft in type-1 Tympanoplasty

2019 ◽  
Vol 02 (02) ◽  
pp. 6-10
Author(s):  
Naveen K ◽  
Jyothi Swarup R ◽  
Mohan M ◽  
Mereen Susan Roy ◽  
Sanjana P
Keyword(s):  
Comparative Study ◽  
Temporalis Fascia ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft

Comparative study of temporalis fascia graft, tragal cartilage graft and fascia lata in tubotympanic type of CSOM

2019 ◽  
Vol 9 (1) ◽  
pp. 37-40
Author(s):  
Sonali Uttamrao Landge ◽  
◽  
Prafful V Jatale ◽  
Vilas Kirdak ◽  
Sambhaji Chintale ◽  
...  
Keyword(s):  
Comparative Study ◽  
Fascia Lata ◽  
Cartilage Graft ◽  
Temporalis Fascia ◽  
Fascia Graft

scholarly journals Audiometric evaluation of type 1 tympanoplasty for hearing results

2017 ◽  
Vol 3 (2) ◽  
pp. 332
Author(s):  
Mallikarjun S. Tegnoor ◽  
Kazim Ali ◽  
Sutrave Mithun
Keyword(s):  
Uptake Rate ◽  
Graft Material ◽  
Temporalis Fascia ◽  
Closure Rate ◽  
Hearing Results ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Air Conduction

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">To evaluate the graft uptake rate of the type1 tympanoplasty performed by underlay technique using autologous temporalis fascia graft for the last two years and to assess the hearing improvement in the successfully operated cases with respect to age, sex, size and location of perforation. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective Study included 50 patients, who underwent type1tympanoplasty.All operations are performed using an underlay technique and by postural approach. In all the cases, temporalis fascia is used for the reconstruction of TM.<strong> </strong>The data of all the patients regarding preoperative disease, perforation size and location, surgical approach, graft material, pre and postoperative clinical and functional (hearing evaluation by pure-tone audiogram) results are analyzed.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Successful closure rate of the TM perforation is 88% and the graft failure rate is 12%. In this study, lowest and highest age of patients at presentation is 13 and 55 years respectively with a mean age of 26.6 years. Most common approaches is post aural. The mean pre and post-operative air conduction threshold in the successful cases are 33.34 dB and 20.20 dB respectively with a mean audiological improvement of around 13 dB. The improvement in the hearing is achieved in only 88% (44 out of 50) among the successful operated type 1 tympanoplasty. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Type 1 tympanoplasty is a safe and effective technique to improve the quality of life of patients. The most common approach is postural. The graft uptake rate is better at three months. The improvement in hearing is noted irrespective of age, sex, size and location of perforation.</span></p>

scholarly journals A comparative study of preoperative and postoperative hearing after type I tympanoplasty using temporalis fascia graft at Dr. B. R. Ambedkar Medical College, Bengaluru

2020 ◽  
Vol 6 (7) ◽  
pp. 1258
Author(s):  
Muniraju M. ◽  
Smita Hegde
Keyword(s):  
Disease Duration ◽  
Type I ◽  
Temporalis Fascia ◽  
Hearing Gain ◽  
Medical College ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Cortical Mastoidectomy ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> The objective of the study was to identify the factors which significantly influence type 1 tympanoplasty success.</p><p class="abstract"><strong>Methods:</strong> A prospective study was performed on 30 patients who underwent type 1 tympanoplasty via underlay technique using temporalis fascia graft from December 2017 to September 2019 in a teaching hospital. Outcome measures were graft uptake rate and hearing gain. The factors assessed were the age and sex, preoperative condition of the ipsilateral and contralateral ears, perforation size, presence of tympanosclerosis, and whether simultaneous cortical mastoidectomy was performed.  </p><p class="abstract"><strong>Results:</strong> None of the factors proved to have a significant influence on tympanic membrane closure or hearing gain.</p><p class="abstract"><strong>Conclusions:</strong> The success rate of a type 1 tympanoplasty is dependent on the skills of the surgeon and the type of graft used. Age, sex, laterality of the disease, duration of dry ear, size of the perforation, presence of tympanosclerosis and simultaneous cortical mastoidectomy have no bearing on hearing gain.</p>

Success rate of type 1 tympanoplasty: a comparative study

2021 ◽  
pp. 1-5
Author(s):  
H Odat ◽  
M Alali ◽  
Y Kanaan ◽  
M Al-Qudah
Keyword(s):  
Comparative Study ◽  
Success Rate ◽  
Outcome Measures ◽  
Temporalis Fascia ◽  
Type 1 Tympanoplasty ◽  
Paediatric Patients ◽  
Graft Take ◽  
The Difference

Abstract Objectives This study aimed to compare graft take rate after tympanoplasty between adults and paediatric patients, cartilage and fascia grafts, and overlay and underlay techniques. Methods Data were analysed in groups according to the technique (underlay vs overlay), age (paediatric patients vs adults) and graft (cartilage vs temporalis fascia). The main outcome measures were full graft take and the incidence of complications. Results A total of 198 patients (208 ears) were included. Overall, full graft take was achieved in 200 ears (96 per cent). The success rate was higher in adults compared with paediatric patients (97.5 per cent vs 92.25, respectively) but the difference was insignificant. Similarly, higher but insignificant graft take rate was found in the cartilage group compared with fascia group (98.6 per cent vs 94.9 per cent, respectively). Conclusion All cases of overlay tympanoplasty had full graft take (success rate 100 per cent). In the underlay group, successful graft take was achieved in 154 cases (95 per cent). This difference was statistically insignificant.

scholarly journals Reinforced temporalis fascia with conchal cartilage versus exclusive temporalis fascia grafting in type 1 tympanoplasty: a comparative study

2020 ◽  
Vol 6 (7) ◽  
pp. 1268
Author(s):  
Rahul S. Gosavi ◽  
Shishir D. Gosavi ◽  
Digwijay A. Bandgar ◽  
Akash D. Gupta ◽  
Pradny S. Naik ◽  
...  
Keyword(s):  
Chronic Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Temporalis Fascia ◽  
Conchal Cartilage ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Membrane Perforation ◽  
A Prospective Study ◽  
Grafting Materials

<p class="abstract"><strong>Background:</strong> Various grafting materials have been used for the repair of a tympanic membrane perforation over the years, with temporalis fascia and conchal cartilage being the most widely used. Our study is an attempt to compare and analyse the use of exclusive temporalis fascia as grafting material against a reinforced graft consisting of temporalis fascia and conchal cartilage.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 100 patients having inactive mucosal chronic otitis media with a dry central perforation with moderate conductive hearing loss, undergoing type 1 tympanoplasty using underlay technique. 50% of the subjects were grafted with temporalis fascia alone while a reinforced temporalis fascia graft along with conchal cartilage was used in the remaining 50% of the cases. The results were evaluated at an interval of 24 weeks after surgery on the basis of graft uptake and hearing restoration (closure of air-bone gap &lt;10 dB).  </p><p class="abstract"><strong>Results:</strong> Graft uptake in exclusive temporalis fascia grafting was 86% while it was 94% when a reinforced graft was used; the hearing restoration rates in both the groups were 82% and 80% respectively.   </p><p class="abstract"><strong>Conclusions:</strong> Reinforced temporalis fascia grafting along with conchal cartilage gives better results than grafting with temporalis fascia alone as regards to graft uptake, while the audiometric results are comparable in both the groups.   </p>

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