Is Cartilage a Better Option than Temporalis Fascia for Grafting in Type 1 Tympanoplasty?: An Institutional Study

Nithya, R.; Gangani, Hitesh M.; Aiyer, R. G.; Gupta, Rahul

doi:10.1007/s12070-020-02037-y

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…However, the limitations of TF, such as its potential for atrophy and resorption, have prompted the exploration of alternative graft materials. Cartilage-perichondrium composite grafts have gained popularity as an alternative choice due to their structural stability and reduced risk of resorption (13) .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Underlay Tympanoplasty Type 1: Ring-Shaped Versus Wheel-Shaped Composite Cartilage-Perichondrium Graft

2024

The Egyptian Journal of Hospital Medicine

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Background: Previously a techniques variety have been described and are currently utilized in tympanoplasty type 1, involving sandwich, underlay, overlay, plugging, rosette and pegging. The operative material and technique choice for tympanoplasty persists controversial. Aim: We aimed to evaluate the wheel-shaped cartilage-perichondrium composite graft and functional and anatomical outcomes of ring in endoscopic tympanoplasty type I for repairing of large and subtotal perforation. Methods: This prospective comparative study was carried out on fifty chronic suppurative otitis media patients tubotympaic type with large and subtotal tympanic membrane (TM) perforation. The participants were assigned randomly into two groups: Group A included 25 patients who were subjected to endoscopic tympanoplasty type 1 ringshaped composite cartilage perichondrium graft. Group B contained 25 patients who were subjected to endoscopic tympanoplasty wheel-shaped composite cartilage-perichondrium graft. Results: Post-operative pure tone audiometry (PTA) test in ring-shaped graft group was 20.2 ± 2.5, while in wheelshaped graft group was 19.36 ± 2.53 with no statistically significant difference (p= 0.244) between the two groups. Conclusion: Our study found that while both ring and wheel-shaped cartilage-perichondrium composite grafts can achieve successful graft acceptance, the wheel-shaped graft showed a significantly greater postoperative improvement in hearing outcomes, a higher rate of TM regeneration, and comparable graft success rates. Additionally, the choice of graft shape played a pivotal role in optimizing surgical outcomes, particularly in cases with significant perforation size. Our study highlighted the potential advantages of wheel-shaped grafts in enhancing hearing improvement and TM regeneration for patients with CSOM.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Underlay Tympanoplasty Type 1: Ring-Shaped Versus Wheel-Shaped Composite Cartilage-Perichondrium Graft

2024

The Egyptian Journal of Hospital Medicine

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Comparison of temporalis muscle fascia and cartilage grafts for primary type 1 tympanoplasty: a meta-analysis of randomized controlled trials

Lajdam

Alahmadi

Alhakami

et al. 2023

Eur Arch Otorhinolaryngol

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Comparison of temporalis fascia and cartilage graft over-under myringoplasty for repairing large perforations

Lou,

et al. 2024

American Journal of Otolaryngology

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Is Cartilage a Better Option than Temporalis Fascia for Grafting in Type 1 Tympanoplasty?: An Institutional Study

Cited by 3 publications

References 8 publications

Endoscopic Underlay Tympanoplasty Type 1: Ring-Shaped Versus Wheel-Shaped Composite Cartilage-Perichondrium Graft

Endoscopic Underlay Tympanoplasty Type 1: Ring-Shaped Versus Wheel-Shaped Composite Cartilage-Perichondrium Graft

Comparison of temporalis muscle fascia and cartilage grafts for primary type 1 tympanoplasty: a meta-analysis of randomized controlled trials

Comparison of temporalis fascia and cartilage graft over-under myringoplasty for repairing large perforations

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