III Graft Selection for Tympanoplasty

Lebo, Charles P.

doi:10.1177/000348946307200103

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…In the present study maximum hearing improvement is achieved with temporalis fascia (mean hearing gain 9.3 dB). Temporalis fascia has certain advantages like (i) absence of elastic tissue with no problem of shrinkage makes graft take up better and (ii) structure of temporalis fascia is similar to the missing tunica properia of the drum [7].…”

Section: Discussionmentioning

confidence: 99%

A comparative study of different graft materials used in myringoplasty

Singh

Sengupta

Das

et al. 2009

Indian J Otolaryngol Head Neck Surg

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Two hundred twenty cases of unilateral chronic suppurative otitis media (CSOM) with dry central perforation were chosen for this study and myringoplasty were done. Age group ranged from 13 to 48 years. Four types of autogenous tissues were used as graft material. Grafting was done by underlay technique when temporalis fascia, tragal perichondrium, areolar tissue were used as graft material and when fat graft was used the ear lobule fat was placed directly into perforation through transcanal route. Postoperative follow-up was carried out up to 6 months. In this study, it was found that the younger age group has less impairment of hearing and better chance of tympanic membrane perforation closure than the older age group in CSOM with central perforation. Anterior perforations has less impairment of hearing and better result in successful closure of tympanic membrane than posterior perforation group. It was also observed that larger the size of perforation greater is the hearing impairment preoperatively and postoperative hearing gain is also less compared to small perforation. Best hearing improvement occurred using temporalis fascia. Failure occurred may be due to postoperative infection, respiratory tract infection, neglected post-operative advice etc.

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Section: Discussionmentioning

confidence: 99%

A comparative study of different graft materials used in myringoplasty

Singh

Sengupta

Das

et al. 2009

Indian J Otolaryngol Head Neck Surg

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“…TF has structure which is similar to missing tunica propria of TM. 15 Its availability at the site of surgery, is thin, strong and it's having a low basal metabolic rate. In TF group we found normal translucent appearance of neotympanum after healing, which gives better audiological outcome in comparison to fat graft.…”

Section: Discussionmentioning

confidence: 99%

A comparative study between fat myringoplasty and temporalis fascia tympanoplasty in moderate to large central perforation of pars tensa of tympanic membrane

Ambani

Gangwani

Bhavya

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: To compare the efficacy between fat graft (FG) and temporalis fascia (TF) graft in tympanic membrane perforations larger than 4mm size or involvement of >25% of tympanic membrane.Methods: This prospective study was carried out during December 2015 to January 2016, for a period of 13months at our Otolaryngology Department. All study patients, who fit into inclusion and exclusion criteria, were divided into two groups according to the type of graft material taken. In group- 1temporalis fascia (TF) graft was taken while in group- 2 fat graft (FG) was taken. An evaluation of hearing was done with full Audiometric and Eustaschian tube function testing. All laboratory preoperative testing was done. Postoperative follow up was done at 2nd, 3rd and 5th month’s period and sos, graft status and hearing evaluation with PTA for all four frequencies 500, 1000, 2000 and 4000 Hz with air conduction and bone conduction thresholds were recorded and compared with preoperative PTA records in both groups. Results: In TF group total 24 (80%) patients had graft uptake, 4 (13.3%) patients had residual perforation and 2 (6.6%) patients had graft failure due to postoperative infection. In FG group total 16 (53.3%) patients had graft uptake, 6 (20%) patients had graft medialised and necrosed, 6 (20%) patients had residual perforation and 2 (6.6%) patient had graft rejection due to postoperative infection. Graft uptake rate in group 1 was 80% while in group 2 was 53.3%. Mean preoperative ABG in TF group was 25±17 dB and mean postoperative ABG was 10±02 dB, in fat graft technique mean preoperative ABG was 25±13 dB and mean postoperative ABG was 16±15 dB. Fat graft technique is simple, quick and minimally invasive. It doesn’t require middle ear manipulation.Conclusions: There is no ideal material for tympanic membrane repair but for moderate to large perforation temporalis fascia graft is better than fat graft in terms of healing and hearing outcomes but considering morbidity fat gives less morbidity.

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“…Complications are not seen as frequently with the meatal skin graft since the epidermis is biologically adapted to the environmental conditions prevailing in the meatus. 2 Guilford's3 technique involves removal of a small V -shaped wedge from the edge of the previously excised meatal graft and placement of the graft lateral to the tympanic membrane remnant and connective tissue graft. The manubrium is exposed through the V-shaped gap to allow for any growth from epithelial remnants left on the manubrium.…”

mentioning

confidence: 99%

The window shade technique of tympanic membrane grafting

Calcaterra¹

1972

The Laryngoscope

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III Graft Selection for Tympanoplasty

Cited by 6 publications

References 26 publications

A comparative study of different graft materials used in myringoplasty

A comparative study of different graft materials used in myringoplasty

A comparative study between fat myringoplasty and temporalis fascia tympanoplasty in moderate to large central perforation of pars tensa of tympanic membrane

The window shade technique of tympanic membrane grafting

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