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A Short Term Comparison of Cartilage with Temporalis Fascia Graft Tympanoplasty in Paediatric and Adolescent Population

  • Neeraj Narayan Mathur
  • Vinoth ManimaranEmail author
  • Anupal Deka
Original Article

Abstract

To compare the anatomic and functional outcomes of the cartilage and temporalis fascia graft materials in type 1 tympanoplasty in paediatric and adolescent population. A total of 55 patients aged <18 years who required type 1 tympanoplasty were selected. 30 patients underwent cartilage palisade tympanoplasty and 25 using temporalis fascia grafts. The age, the side of the operated ear, the operative technique, pre- and post operative pure tone and impedance audiological results, and the status of the graft were noted. Graft was considered taken up if there was successful closure of tympanic membrane perforation. At the end of 6 months, the graft take rate for cartilage was 90% and for temporalis fascia it was 80% (p > 0.05). ABG closure ratio in cartilage group was 58.54 ± 23.10% and in temporalis fascia group was 56.46 ± 27.4% (p > 0.05). Pre operatively all patients had type B tympanogram in both the groups. While post operatively either type A or C curve was seen in 80% patients of cartilage and 68% patients of temporalis fascia group. Hearing outcomes and graft success rates were high in both fascia and cartilage graft groups but not significantly different.

Keywords

Pediatric Tympanoplasty Cartilage Temporalis fascia 

Notes

Compliance with Ethical Standards

Conflict of interest

No conflicts of interest between any of authors.

Ethical Standard

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all the parents/guardians of the participants included in the study, as the study included pediatric population.

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Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  • Neeraj Narayan Mathur
    • 1
  • Vinoth Manimaran
    • 1
    Email author
  • Anupal Deka
    • 1
  1. 1.Department of Otolaryngology and Head and Neck SurgeryVardhman Mahavir Medical College and Safdarjung HospitalNew DelhiIndia

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