Online ISSN: 2515-8260

Keywords : Tragal cartilage


COMPARISON BETWEEN TRAGAL CARTILAGE AND TEMPORALIS FASCIA IN TYPE 1 TYMPANOPLASTY: A PROSPECTIVE COMPARATIVE STUDY

CR Vijay Bharath Reddy, Saai Ram Thejas

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 645-656

Chronic otitis media is a mucoperiosteal chronic inflammation in the middle ear
cleft which is associated with perforation of the tympanic membrane, ear
discharge and hearing impairment. The main goal of tympanoplasty is the
reconstruction of the tympanic membrane and closure of a perforation that has
been impaired by chronic ear diseases with or without trying to improve the
hearing mechanism.

To evaluate the effectiveness of cartilage as grafting material in terms of graft uptake following type-I tympanoplasty

Dr K. Anjani Kumari, Dr Swetha Polisetti, Dr C.Anand Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5136-5144

Background and objectives: Chronic Suppurative Otitis Media (CSOM) is one of the
most common ear diseases in South East Asia having a prevalence of approximately
5.2% in the general population.Cartilage material is criticized in terms of hearing
results due to its thickness. The objective of this study was to evaluate the effectiveness
of cartilage as grafting material in terms of graft uptake and post-operative hearing
following Type-I tympanoplasty.
Materials and methods: All patients undergoing Tympanoplasty in Govt. ENT Hospital,
Osmania Medical College, Hyderabad, who comply with inclusion and exclusion
criteria, and who were diagnosed as Tubotympanic type of chronic suppurative otitis
media and were taken up for Type-I Tympanoplasty were included in the present study
for a period of one and half years from November 2015 to June 2017. 50 subjects were
enrolled and Subjects were reviewed on 8thpost-operative day, 6thand 12thpost-operative
weeks. The graft uptake and post-operative hearing were evaluated.
Results: The graft uptake on 6thand 12thpost-operative weeks was 87.7% & 86.6%
respectively. The difference of means of air bone gaps for pre-operative, 6th postoperative
week and 12thpost-operative week were 30.11 ± 1.66 dB, 18 ± 1.50 dB, 15.86 ±
1.50 dB respectively.The results were statistically significant, showing improvement in
hearing after surgery. On 12thpost-operative week 5 subjects had no hearing gain.
Closure of air-bone gap within 30 dB was achieved in 81.10% subjects.
Conclusion: The cartilage was found to be excellent grafting material in terms of both
the graft uptake rates and hearing results after type 1 tympanoplasty.