Comparison of conventional temporalis fascia myringoplasty with fascia lata myringoplasty among patients with hearing loss

Abstract

<p class="abstract"><strong>Background:</strong> In selection of a graft tissue factors considered include its biological properties, probability of survival, its adequacy in size and ease of procurement<strong> </strong>The present study aims to preoperatively predict hearing improvement by paper patch test and compare with postoperative hearing improvement i.e. pre and post operatively hearing assessment.</p><p class="abstract"><strong>Methods:</strong> The study was conducted on 25 cases undergoing myringoplasty with Fascia lata and Temporalis fascia as a graft material among the patients fulfilling the standard criteria for myringoplasty i.e. pars tensa perforation, good cochlear reserve, dry ear and normal eustachian tube function were considered for surgery. Myringoplasty was done from post aural route for harvesting fascia temporalis graft & from upper 1/3rd of thigh laterally to harvest fascia lata. Each case was followed up post operatively monthly for 3 months. </p><p class="abstract"><strong>Results:</strong> Factors which influence graft take up are the size of perforation and lack of infection at the time of surgery and postoperative. Large perforations were difficult to repair as it took more time to heal. Surgery performed postaurally underlay technique using temporal fascia was associated with less morbidity, better uptake and lesser postoperative complications but permeatal route also serve similar purpose and does not affect the result of study significantly.</p><p class="abstract"><strong>Conclusions:</strong> This study compared both temporal fascia and fascia lata as graft materials for myringoplasty and proved that myringoplasty done by postaural underlay technique using temporal fascia holds best as per graft uptake, hearing improvement and postoperative complications when compared to fascia lata myringoplasty.</p>

A Comparative Study Between the use of Temporalis Fascia and Fascia Lata as Graft During Tympanoplasty Performed in A Tertiary Care Centre

“…In each group there were 17 females (81%) and 4 males (19%). Our study had female predominance while studies done by Verma S et al 14 , Harkare VV et al 15 , showed male predominance. However gender distribution didn't have any effect on the study results.…”

“…In selection of a graft tissue, the factors considered include its biological properties, probability of survival, its adequacy in size and ease of procurement 13 . Temporalis fascia is the most widely used material for closure of tympanic membrane perforation 14 .…”

A comparative study of temporalis fascia and fascia lata graft in type-1 tympanoplasty

“…Perforation size is an important determinant of the loss, larger perforations result in larger hearing losses. 3 80% of patients on our study was having moderate to large perforation which correspondence to degree of hearing loss.…”

Comparative study between fascia lata and temporalis fascia in myringoplasty

“…The temporalis fascia had an overall graft uptake success rate of 90% which is lower than the study conducted by Verma et al (96%) and Indorewala et al (95%) [8,16]. But Dabholkar et al in underlay tympanoplasty achieved a graft success rate of 84% for temporalis fascia [17].…”

“…In the study conducted by Verma et al, audiological closure of the air-bone gap in the range of 0-30 dB was achieved in 88% cases of temporal fascia and 80% in fascia lata after surgery with no significant difference [16]. In 2014, Patil et al found that the mean gain in airbone gap postoperatively for temporalis fascia was 9.36 dB and for fascia lata was 12.1 dB which also was not significant [15].…”