Comparison of half-thickness tragal cartilage graft to temporalis fascia graft Tympanoplasty Type I: a randomized control trial

2020 ◽  
pp. 1
Author(s):  
Fazali Wahid ◽  
Sajid Nagra
Keyword(s):  
Randomized Control Trial ◽  
Type I ◽  
Cartilage Graft ◽  
Temporalis Fascia ◽  
Fascia Graft ◽  
Randomized Control ◽  
Half Thickness

scholarly journals TO EVALUATE THE OUTCOME OF TYMPANOPLASTY TYPE I USING DRY AND WET TEMPORALIS FASCIA GRAFT: A RANDOMIZED CONTROL TRIAL.

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Abhiniti . ◽  
Pawan Kumar Lal
Keyword(s):  
Randomized Control Trial ◽  
Type I ◽  
Success Rates ◽  
Temporalis Fascia ◽  
Suppurative Otitis Media ◽  
Surgical Success ◽  
Medical College ◽  
Fascia Graft ◽  
Duration Of Surgery ◽  
Randomized Control

Aim: to evaluate the outcome of tympanoplasty type I using dry and wet temporalis fascia graft. Methods The present Randomized control trial was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar . Among 100 patients attended the OPD of the ENT and diagnosed with chronic suppurative otitis media. Patients were divided into 2 groups of 50 each: one group underwent dry graft tympanoplasty and the other underwent wet graft tympanoplasty. Results: The dry graft and wet graft groups had overall surgical success rates of 82 and 88 per cent, respectively; this finding was not statistically significant. A statistically significant high fibroblast count was observed in wet grafts. Conclusion: The present study concluded that the dry or wet temporalis fascia graft did not affect the outcome of type I underlay tympanoplasty significantly. However, using wet temporalis fascia could shorten the duration of surgery in type I underlay tympanoplasty. Keywords: tympanoplasty; wet graft, dry graft, temporalis fascia

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 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>

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 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 Comparative study of type I tympanoplasty using temporalis fascia and tragal cartilage with perichondrium as graft material

2018 ◽  
Vol 4 (3) ◽  
pp. 789
Author(s):  
Arvinder Singh Sood ◽  
Pooja Pal ◽  
Anshul Singla
Keyword(s):  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Type I ◽  
Graft Material ◽  
Hearing Improvement ◽  
Temporalis Fascia ◽  
Tertiary Care Centre ◽  
Fascia Graft ◽  
Uptake Rates

<p class="abstract"><strong>Background:</strong> Temporalis fascia and cartilage are the most commonly used graft materials, though contradictory reports are available in literature as regards their efficacy. The purpose of this study was to compare graft acceptance and auditory outcomes of tympanoplasty using cartilage versus temporalis fascia as graft material.</p><p class="abstract"><strong>Methods:</strong> This prospective study included 40 consecutive cases of chronic otitis media in a tertiary care centre randomised in two groups of 20 patients each to be subjected to tympanoplasty using either tragal cartilage-perichondrium or temporalis fascia graft from January 2011 to November 2012. Graft uptake rates and subjective as well as objective hearing improvement at 2 months and 6 months postoperative follow-up were compared.  </p><p class="abstract"><strong>Results:</strong> The mean age of presentation was 34.4 years (range 15-60 years). At 2 months post operatively, the graft uptake was better with tragal cartilage group (95%) than temporalis fascia (90%), while at the end of 6 months graft uptake was better with temporalis fascia (75%) compared to tragal cartilage (70%). Hearing improvement was better for tragal cartilage group compared to the temporalis fascia group at both 2 months and 6 months follow-up. The subjective improvement in hearing at the end of 6 months was also better for tragal cartilage- perichondrium group than the temporalis fascia group.</p><p class="abstract"><strong>Conclusions:</strong> Both temporalis fascia and tragal cartilage–perichondrium are suitable graft materials for tympanoplasty. Graft uptake was superior with temporalis fascia, while hearing improvement was better with tragal cartilage- perichondrium, although the results were not statistically significant.</p><p class="abstract"> </p>

Impact of the nature of the temporalis fascia graft on the outcome of type I underlay tympanoplasty

2017 ◽  
Vol 131 (6) ◽  
pp. 472-475 ◽  
Author(s):  
Z Jiang ◽  
Z Lou ◽  
Z Lou
Keyword(s):  
Success Rate ◽  
Key Words ◽  
Literature Search ◽  
Present Review ◽  
Type I ◽  
Success Rates ◽  
Temporalis Fascia ◽  
Exclusion Criteria ◽  
Fascia Graft ◽  
Duration Of Surgery

AbstractObjectives:Temporalis fascia has become the most widely used graft for tympanoplasty, as it is strong, durable, and easy to procure and handle. However, the type of temporalis fascia graft to use (i.e. dry or wet) remains controversial. The present review aimed to evaluate the success rates of dry and wet temporalis fascia grafts in type I underlay tympanoplasty.Methods:A literature search was performed, using PubMed up to August 2016, to identify all studies of dry and wet temporalis fascia grafts in type I underlay tympanoplasty. The initial search using the key words ‘temporalis fascia’ and ‘tympanoplasty’ identified 130 articles; these were screened by reviewing the titles or abstracts based on the inclusion and exclusion criteria. Ultimately, this review included seven articles.Results and conclusion:A dry or wet temporalis fascia graft did not affect the outcome of type I underlay tympanoplasty. However, using wet temporalis fascia could shorten the duration of surgery in type I underlay tympanoplasty. Concerns that the fibroblast count of temporalis fascia may beneficially affect success rate have not been substantiated in clinical reports thus far.

scholarly journals Perichondrium - An Autologous Substitute for Temporalis Fascia in Type I Tympanoplasty: A Comparative Study

2019 ◽  
Vol 27 (2) ◽  
pp. 140-148
Author(s):  
Bahnisikha Kayet ◽  
Aryabrata Dubey
Keyword(s):  
Type I ◽  
Graft Material ◽  
Inclusion Criteria ◽  
Hearing Improvement ◽  
Temporalis Fascia ◽  
Hearing Results ◽  
Fascia Graft ◽  
Free Grafts ◽  
Better Than

Introduction  Temporalis fascia is the commonly used graft material for tympanic membrane reconstruction. Tragal perichondrium share with the fascia the quality of being mesenchymal tissue. In our study we compared perichondrium and temporalis fascia in terms of graft uptake and hearing improvement. Materials and Methods All patients presenting with discharge from ear and decreased hearing were subjected to clinical examination and investigation. Patients satisfying inclusion criteria were included in study with total of 40 patients. Twenty underwent type1 tympanoplasty with temporalis fascia (TF) and another 20 patients with tragal perichondrium (TP). To evaluate success patients are evaluated at end of 6 months for graft uptake and 3 months for hearing results in audiological gain of 10 dB in two consecutive frequencies. Results Mean Pre-op AC Threshold in TF group was 30.75 dB±5.16 and Post-op AC Threshold was 14.15 dB±8.05. Mean Pre-op AC Threshold in TP group was 32.2 dB±4.81 and Post-op AC Threshold was 20.95 dB±7.14. Mean post-op AC Threshold, Mean Post-Op AB Gap and Mean Audiological Gain was statistically significant among 2 groups p=0.0075, p=0.0013, p=0.0294 respectively.  Temporalis fascia was better than Tragal Perichondrium. Graft uptake in 2 groups was not significant (p=0.6325). Conclusion From the present study we may conclude that temporalis fascia, tragal perichondrium free grafts provide viable autograft material for tympanoplasty. Both achieve good hearing restoration but the improvement in hearing or audiological gain is better in temporalis fascia graft than in tragal perichondrium graft.

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