Summary
A study on the use of tragal perichondrium as a graft in tympanoplasty was made. Autogenous tragal perichondrium was used in 50 cases of C.S.O.M., undergoing tympanoplasty. Type I was performed in 38 cases, Type II in 5 cases and in 7 cases Type III tympanoplasty was done. The important advantages noticed during the surgery were the ease with which the fairly big sized graft was made available from the field of operation and the comfort with which the perichondrium could be handled without getting curled up. Post-operatively, the graft rejection was seen in only 4 cases (8.5%) while in rest 46 cases (91.5%) the graft take up was excellent. Sufficient gain in hearing was also obtained in 39 (8.3%) cases. It is expected that this graft (perichondriuum from tragus) will go a long way in solving the main problem of graft rraterial in tympanoplasty.
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References
Goodhill, V., Harris, I., and Brockman, S.J. Tympanoplasty with perichondrial graft. Arch. Otolaryngol., 79, 131, 1964.
Jansen, C. Cartilage—tympanoplasty. Laryngoscope, 73, 1288, 1963.
Kobrark, H.G. Recent advances in diagnosis and treatment of Middle ear deafness. Laryngoscope, 66,426, 1956.
Patterson, M. E., Luckwood, R.W. and Sheehy, J.L. Temporalis fascia in tympanic membrane grafting. Arch. Otolaryngol., 85, 287, 1967.
Piquer, F.A.C. Audiosurgery: Recuperation of deafness following otorrhoea and its sequelae. Abstr. T. Sixth Internat. Congress Otolaryngol., Washing ton, D.C. May 5–10, 1957, pp. 143–144 (Cited by Pick, E.I., 1959.).
Trombetta, A. Perforation of tympanic membrance and tympanoplasty-Closure by pericardium. A preliminary report of 9 cases. Arch. Otolaryngol., 77, 81, 1963.
Wullstein, H, Theory and practice of tympanoplasty. Laryngoscope, 66, 1078, 1956.
Zollner, F. The prognosis of the operative improvement of hearing in chronic middle ear infection. Ann. Otol, Rhinol. & Laryngol., 66, 907, 1957.
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A part of M.S. thesis accepted by the University of Delhi,The study was conducted in the Dept. of E.N.T., Safdarjung Hospital, New Delhi.
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Prasad, U., Hameed, O.A.N.S. Tragal perichondrium in tympanoplasty. Ind. J. Otol. 23, 12–17 (1971). https://doi.org/10.1007/BF03047744
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DOI: https://doi.org/10.1007/BF03047744