Comparison of Temporalis Fasia and Cartilage Graft in Tympanoplasty Type 1: A Randomized Clinical Trial

Abstract

To compare the clinical and audiological outcomes of the type 1 tympanoplasty performed with either tragal composite island graft or temporalis fascia graft, in patients with chronic otitis media. Pateints with chronic otitis media with medium and large central perforation, dry ear at least for one month, intact ossicular chain were included in randomized clinical trial. Out of 40 subjects, 20 cases were repaired with tragal composite island graft and 20 cases with temporalis fascia graft. The graft success rate was 95% for the cartilage group and 90% for the fascia group. Postoperative mean air bone gap after 6 months was 9.75 for cartilage group and 6.25±2.2 dB for fascia group. Post operative air conduction threshold after 6 months was 15.75±3.3 dB for cartilage group and 11.50±2.3 dB for fascia group while post operative mean bone conduction threshold after 6 months was 6.00±2.61 dB for cartilage group and 5.00±0.00 dB for fascia group. There was no statistical difference in the graft take rate in both the groups but audiological results were better with fascia group than cartilage.

Keywords: Tympanoplasty, temporalis fascia, composite tragal cartilage graft, statistical significance

Cite the Article:

Ranveer Singh, Pankaj Kumar Verma, Charu Singh, Jaya Gupta, Hom Nath Dhungana. Comparison of Temporalis Fasia and Cartilage Graft in Tympanoplasty Type 1: A Randomized Clinical Trial. Research & Reviews: Journal of Surgery. 2015; 4(1): 5–11p.