Comparative study of underlay tympanoplasty with temporalis fascia and tragal perichondrium

Abstract

The perforations of the tympanic membrane maybe of traumatic origin or due to chronic suppurative otitis media. If the perforations fail to heal conservatively, they require surgical closure. Autologous graft materials have stood the test of time in repairing tympanic membrane perforations. In our tertiary care institution we conducted a prospective randomized control trial on 50 subjects to evaluate the comparative efficacy of temporalis fascia and tragal perichondrium as grafting material in underlay tympanoplasty. In this study surgical success was evaluated in terms of intact drum membrane during the follow up period and closure of A–B gap within 10 dB. Temporalis fascia achieved a graft uptake of 84% and a satisfactory hearing improvement in 76% of the patients. Tragal perichondrium achieved a success rate of 80% graft uptake and 75% hearing gain. The rates are comparable with no statistical significance of the difference between them.

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References

  1. 1.

    Timothy. T. K. Jung, MD, Ph.D., and Jonathan Hanson, MD: Classification of Otitis Media and Surgical Principles; Otolaryngologic Clinics of North America; Vol.32; Number 3; June 1999; Page 369–380.

    Article  Google Scholar 

  2. 2.

    Nicholas J Frootko: Reconstruction of the Ear; Scott-Brown’s Otolaryngology; Vol 3; 5th Edition; 240; 1987.

    Google Scholar 

  3. 3.

    Raine CH and Singh SD: Tympanoplasty in Children: A Review of 114 Cases; Journal of Laryngology and Otology 1983; 97; 217–221.

    PubMed  CAS  Google Scholar 

  4. 4.

    Ronald W Strahan, Paul Ward, Mario Acquirelli and Bruce Jafek: Tympanic membrane grafting. Analysis of material and techniques; Annals of Otology 1971; 80; 854–860.

    CAS  Google Scholar 

  5. 5.

    Alan Gibb and Sing-Kiat Chang: Myringoplasty (A Review of 365 operations); Journal of Laryngology and Otology 1982; 96; 915–920.

    PubMed  CAS  Google Scholar 

  6. 6.

    Victor Goodhill, Irwin Harris and Seymour Brackman: Tympanoplasty with perichondrial graft-a preliminary report; Archives of Otolaryngology 1964; 79; 131–137.

    PubMed  CAS  Google Scholar 

  7. 7.

    Abraham Eviator: Tragal perichondrium and cartilage in reconstructive ear surgery; Laryngoscope no 11; 88; 1–23.

  8. 8.

    John L. Dornhoffer, M.D: Hearing results with Cartilage Tympanoplasty; Laryngoscope; 1997 Aug; 107(8): 1094–9.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Jyothi P. Dabholkar.

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Dabholkar, J.P., Vora, K. & Sikdar, A. Comparative study of underlay tympanoplasty with temporalis fascia and tragal perichondrium. Indian J Otolaryngol Head Neck S 59, 116–119 (2007). https://doi.org/10.1007/s12070-007-0035-0

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Keywords

  • Tympanoplasty
  • Temporalis Fascia
  • Tragal Perichondrium