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Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted?

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The aim of this study was to compare anatomical and audiological results of boomerang-shaped chondroperichondrial graft (BSCPG) with temporal muscle fascia in type 1 tympanoplasties. Sixty-eight patients in BSCPG group and 54 patients in fascia group were evaluated. Otomicroscopic examination was done periodically till 24 months as for graft perforation, lateralization and retraction and mean air conduction threshold and airbone gap values were measured. At long term controls, in BSCPG group, rates of neomembrane, perforation, retraction and lateralization were 91.17 % (n = 62), 8.82 % (n = 6), 4.41 % (n = 3) and 0 % (n = 0), respectively. In fascia group, the corresponding rates were 79.62 % (n = 43), 20.37 % (n = 11), 12.96 % (n = 7) and 3.7 % (n = 2), respectively. In both groups, mean postoperative PTA and ABG values were significantly better while postoperative same values were significantly different between groups (p = 0.044 and 0.032, respectively). Compared to fascia, BSCPG is an ideal grafting technique in the repair of tympanic membrane perforations.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Harran University, Şanliurfa, Turkey

    Riza Dundar, Ahmet Yükkaldiran & Mehmet Ali Çiftçi

  2. Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey

    Erkan Kulduk, Fatih Kemal Soy & Mehmet Aslan

Authors
  1. Riza Dundar
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  2. Erkan Kulduk
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  3. Fatih Kemal Soy
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  4. Mehmet Aslan
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  5. Ahmet Yükkaldiran
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  6. Mehmet Ali Çiftçi
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Correspondence to Riza Dundar.

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Dundar, R., Kulduk, E., Soy, F.K. et al. Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted?. Indian J Otolaryngol Head Neck Surg 68, 339–344 (2016). https://doi.org/10.1007/s12070-015-0825-8

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  • DOI: https://doi.org/10.1007/s12070-015-0825-8

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