Hearing Results in Type 1 Tympanoplasty Using with Tragal Cartilage and Temporalis Muscle Fascia

Abstract

ÖZETAmaç: Biz bu çalışmada timpanik membran perforasyonu olan kolesteatomsuz, timpanik membran retraksiyonu ve kemikçik zincir problemi olmayan kronik otitis media'lı, hastalarda greft olarak temporal kas fasyası ve perikondrium kullanımının uzun dönem odyolojik sonuçlarını karşılaştırmayı amaçladık.Yöntemler: Bu çalışmaya timpanik membran perforasyonu nedeniyle Tip 1 timpanoplasti yaptığımız kolesteatomsuz kronik otitis medialı 35 hasta dahil edilmiştir. Tüm hastalara hem pre operatif hem de post operatif 1 yılda tonal odyometri yapılmıştır ve 500, 1000, 2000 ve 4000Hz de kemik ve hava yolu işitme seviyeleri kaydedilmiştir. This study aimed to compare the long-term result of hearing in patients with tympanic membrane perforation without cholesteatoma and ossicle problems using the temporalis fascia and perichondrium.Methods: It included 35 patients with chronic otitis media without cholesteatoma who underwent type 1 tympanoplasty due to tympanic membrane perforation. Preoperative and 1-year postoperative air-bone gap (ABG) and postoperative gain in ABG at frequencies of 0.5, 1, 2, and 4 kHz were recorded.Results: The 35 patients were operated. Tragal perichondrium was used in the 20 patients. Temporalis muscle fascia was used in 15 patients. There was statistically significant difference between preoperative and after the operation at the first year in the group that used the perichondrium and the temporalis muscle fascia group. There was no statistically significant difference in air bone gap gain between perichondrium and temporalis muscle groups.Conclusion: There was no difference in hearing results between procedures where the perichondrium was used for reconstruction of the tympanic membrane as temporalis muscle fascia. (JAREM 2014; 1: 4-6)