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To Compare Short and Long-Term Graft Uptake and Hearing Outcome of Type I Cartilage Tympanoplasty Between Small, Medium and Large Perforations Using Reinforced Sliced Conchal Cartilage

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Abstract

To compare short and long-term graft uptake and hearing outcome of type I cartilage tympanoplasty between small, medium and large perforations using reinforced sliced conchal cartilage. A retrospective study conducted in a tertiary center. Fifty patients who under went type I tympanoplasty were enrolled. Their mean age was 29.30 years and follow-up time was 6 and 18 months. The preoperative, postoperative short-term and long-term hearing and graft uptake results were analyzed. Graft uptake rate was 96% in short-term and 98% in long-term with one residual perforation in medium size, but 100% in small and large perforations (P < 0.01). Short and long-term ABG closure was identical in small and medium size perforation (P = 0.978) (P = 0.734), but, large perforation showed significant improvement in long-term (P = 0.012). Sliced conchal cartilage reinforced with temporalis fascia is a reliable technique for tympanoplasty. In long-term, large perforations have better graft uptake rate and continuous hearing improvement and ABG closure than small and medium perforations.

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Authors and Affiliations

  1. Department of ENT and Head Neck Surgery, Government Medical College Amritsar, H. No. 4580, Bhalla Colony, Chheharta, Amritsar, Punjab, India

    Satinder Pal Singh

  2. Department of ENT and Head Neck Surgery, Government Medical College Amritsar, E-130, Ranjit Avenue, Amritsar, Punjab, India

    Ravinder Singh Nagi

  3. Department of ENT and Head Neck Surgery, Government Medical College Amritsar, 20, Doctors Avenue, Amritsar, Punjab, India

    Jagdeepak Singh

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  1. Satinder Pal Singh
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  2. Ravinder Singh Nagi
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Correspondence to Satinder Pal Singh.

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Singh, S.P., Nagi, R.S. & Singh, J. To Compare Short and Long-Term Graft Uptake and Hearing Outcome of Type I Cartilage Tympanoplasty Between Small, Medium and Large Perforations Using Reinforced Sliced Conchal Cartilage. Indian J Otolaryngol Head Neck Surg 71, 550–556 (2019). https://doi.org/10.1007/s12070-019-01727-6

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