A Comparison of Cartilage Palisades and Temporal Fascia in Type 1 Tympanoplasty for Bilateral Tympanic Membrane Perforations in Children

Gün, Taylan; Boztepe, Osman Fatih; Atan, Doğan; İkincioğulları, Aykut; Dere, Hüseyin

doi:10.5152/iao.2016.1855

Cited by 9 publications

(5 citation statements)

References 23 publications

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“…Cartilage graft was taken in 43 cases (97.7%) in this study, which is comparable to other studies as listed in table below (Table-III) [1][2][3]7,[10][11][12][13][14][15][16][17][18]. …”

supporting

confidence: 83%

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Wahid

Nagra

2019

TPMJ

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Objectives: To determine the efficacy of tragal cartilage graft in tympanoplasty type I. Study Design: Quasi-experimental study. Setting: Department of ENT, Head and Neck Surgery, Medical Teaching Institute (MTI), Lady Reading Hospital (LRH), Peshawar, Pakistan. Period: From Jan. 2017 to Dec. 2017 (One Year). Material & Methods: A total of forty four patient fulfilling inclusion criteria were included in this study. All the patients were assessed in terms of detail history, thorough examination focusing on ENT findings. Pure Tone Audiometry (PTA) was performed pre-operative and post-operative at 3 and 6 months interval for the frequencies of 0.5, 1, 2,4 Hz. Data were analyzed using SPSS (version 16). Paired sample t-test of significance was used. The confidence interval was set to 95% and P-value <0.05 was considered significant. Results: Out of 44 patients males were 24 (54.54%), female 20 (45.45%) with Male: Female ratio of 1.2:1. Mean age of the patients was 28. 47 + SD 7.26 Years. There was statistically significant difference between the pre and post-op air conduction (p<.001), and pre-op and post-op air bone gap (p<.001).There was subjectively significant hearing improvement in 31 patients (70.5%). Cartilage graft was taken in 43 patients with success rate of 97.7%. Conclusion: Tragal cartilage is an effective graft material, which yields good results in terms of graft take up, hearing improvement and minimum complication, postoperative healing and acoustic properties.

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“…Cartilage graft was taken in 43 cases (97.7%) in this study, which is comparable to other studies as listed in table below (Table-III) [1][2][3]7,[10][11][12][13][14][15][16][17][18]. …”

supporting

confidence: 83%

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Wahid

Nagra

2019

TPMJ

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“…Moreover, in another retrospective study comparing cartilage and temporal fascia graft in type 1 tympanoplasty for bilateral perforations in children, Gun et al [22] found no statistically significant difference between fascia and cartilage. The mean follow-up in the fascia group was 23.2 months, and that for the cartilage was 21.9 months.…”

Section: Discussionmentioning

confidence: 97%

Do mastoidectomy and type of graft affect tympanoplasty outcome in Egyptian children? A prospective randomized study

Khafagy

Sobhy

Afifi

2020

Egypt J Otolaryngol

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Background: The purpose of this study is to evaluate and compare surgical and hearing outcomes of tympanoplasty using temporalis fascia graft and tragal cartilage with or without mastoidectomy in children with tubotympanic chronic suppurative otitis media. Two hundred children with chronic suppurative otitis media of tubotympanic type with perforation were included in this prospective randomized study. They were divided randomly into four equal groups according to operation done. Group I underwent tympanoplasty using temporalis fascia graft with cortical mastoidectomy, while in the second group, tragal cartilage was used as a graft with mastoidectomy. Groups III and IV were done without mastoidectomy, with tragal cartilage for group III and temporalis fascia for group IV. One-year follow-up was done for all patients to evaluate graft success (means without perforation nor retraction). Audiological evaluation was done for all children preoperatively and 6 months postoperatively for patients with successful graft uptake. Result: There were 170 patients (85%) with graft success postoperatively. Tympanoplasty using temporalis fascia graft showed highly statistically significant difference (P < 0.001) when compared to tragal cartilage as regards hearing improvement in patients with successful graft uptake, while there is no statistically significant difference as regards graft uptake (P = 0.039). Also, there is no statistically significant difference between different techniques with or without mastoidectomy (P = 0.165). Conclusion: Tympanoplasty using temporalis fascia without cortical mastoidectomy is the surgery of choice in children between 10 and 16 years old with tympanic membrane perforation as it showed highly statistically significant difference when compared to tragal cartilage graft as regards hearing improvement, with no statistically significant difference regarding successfully graft uptake.

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“…After myringoplasty, the mean postoperative air-bone gap for medium, large and small perforations was 14.22 dB, 22.62 dB and 6.24 dB, correspondingly. According to the data, the average improvement in the air-bone gap or the increase in hearing for minor perforations was 5.24 dB, respectively [22][23] .…”

Section: Discussionmentioning

confidence: 97%

Hearing Improvement after Myringoplasty in Association with the Tympanic Membrane Perforation Size

Khan¹,

Khan²,

Rasheed³

et al. 2023

PJMHS

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Objectives: To evaluate hearing improvement following successful myringoplasty based on the degree of tympanic membrane perforation. Methods: This cross-sectional study was held in the department of ENT of Aziz Bhatti Shaheed Teaching Hospital and ENT, Head and Neck Surgery department, Pak International Medical College and Peshawar Institute of Medical Sciences (PIMS), Hayatabad Peshawar for the duration from December 2021 to November 2022. Myringoplasty procedures were performed on 80 individuals in total following thorough history-taking, clinical testing, and research. Hearing was tested both before and after the operation. A variety of tables, charts, and drawings are used to present the analysed data. Results: For minor perforations, 27.81 dB was the mean air-bone gap, 7.21 dB was the mean bone conduction threshold, and 33.40 dB was the mean air conduction threshold prior to surgery. In medium-sized perforations, 32.78 dB was the mean air-bone gap, 10.10 dB was the mean bone conduction threshold and 46.21 dB was the mean air conduction threshold prior to surgery. In the instance of a large perforation, 48.86 dB was the mean air-bone gap, 62.01 dB was the mean air conduction threshold, and 15.20 dB was the mean bone conduction threshold prior to surgery. After myringoplasty, the mean postoperative air-bone gap for medium, large and small perforations was 14.22 dB, 22.62 dB and 6.24 dB, correspondingly. Using the unpaired test, it was determined that the difference in airbone gap between minor and medium sized perforations closure was statistically significant. Conclusions: After myringoplasty of large size perforations, hearing gain is improved significantly. Myringoplasty and hearing enhancement are key words. Keywords: Myringoplasty, Hearing Improvement, Tympanic membrane perforations

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A Comparison of Cartilage Palisades and Temporal Fascia in Type 1 Tympanoplasty for Bilateral Tympanic Membrane Perforations in Children

Cited by 9 publications

References 23 publications

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Tympanoplasty Type I using Tragal Cartilage as graft: Our experience.

Do mastoidectomy and type of graft affect tympanoplasty outcome in Egyptian children? A prospective randomized study

Hearing Improvement after Myringoplasty in Association with the Tympanic Membrane Perforation Size

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