Role of Cartilage as a Graft Material for Tympanic Membrane and in Middle Ear Reconstruction

Chouhan, Anant; Singh, Baleshwar; Verma, Prerna

doi:10.4236/ijohns.2015.42012

Cited by 6 publications

(6 citation statements)

References 18 publications

(20 reference statements)

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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 is performed in case of inactive mucosal COM. 2 The mechanism of biological graft materials is that they act as scaffold of tissue matrix to seal the perforation which subsequently revascularises and migration of fibroblast and epithelium takes place. The commonly used autologous graft materials are vein, fat, fascia lata, temporalis fascia, tragal perichondrium and cartilages.…”

Section: Introducionmentioning

confidence: 99%

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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%

Section: Introducionmentioning

confidence: 99%

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

Wahid

Nagra

2019

TPMJ

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“…Chouhan, A (2015) the mean air bone gap pre-operative was 26.4 decibels which was reduced to 18 decibels post-operatively thus 21 giving improvement in hearing of 8.4 decibels.…”

Section: Discussionmentioning

confidence: 97%

“…Chouhan, A (2015) Post-operatively mean air conduction was 27.4 dB 21 with standard deviation of 11.5 dB.…”

Section: Discussionmentioning

confidence: 97%

Comparative Study of Tympanoplasty With Conventional Temporalis Fascia Graft Versus Tragal Cartilage Perichondrium Graft

Sarkar¹,

Das²,

Pradhan

et al. 2020

ijsr

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The study was carried out on 50 patients with central perforation in tympanic membrane ( dry & inactive stage ). The study was done in the department of OTORHINOLARYNGOLOGYof BURDWAN MEDICALCOLLEGE AND HOSPITALover a period of one year. The study was done on comparison between tympanoplasty procedure using temporalis fascia as graft versus cartilage composite graft. Precise history was taken from respective patients in detail and were examined clinically. Patients with dry perforation with good cochlear reserve, intact and mobile ossicular chain, functioning Eustachian tube were selected randomly for the operation. Tympanoplasty procedure using temporalis fascia as graft was done in 50% (n=25) patients and tympanoplasty procedure using cartilage composite graft was done in 50% (n=25) patients. In this study the age range of patients were from 13 to 50 years, the mean age was 26.62 years, the number of male and female was equal. Right sided disease was predominant in our study and the mean duration of symptom was 11.24 months. The mean pre-operative hearing loss (pure tone average by pure tone audiometry) was 37.84 ± 4.65 dB and mean pre operative airbone gap was 22.84 ± 4.65 dB . Post operative Mean air conduction was 23.48 ± 5.54 dB among them 24.2 ± 6.26 dB in the fascial group and 22.76 ± 4.73 dB in the cartilage group. This result is not statistically signicant. Post operative mean air-bone gap was 13.84 ± 5.94 dB among them 14.76 ± 5.6 dB in fascial group and 12.92 ± 6.23 dB in the cartilage group which is not signicant stastistically. Successful graft take-up rate of 88.00% (n=44). The overall success rate among tympanoplasty using temporalis fascia graft( GROUP A ) and tympanoplasty using composite cartilage graft ( GROUP B ) technique were 84.00% (n=21) and 92.00% (n=23) respectively. 12.00% (n=6) patients were marked as failure cases during postoperative follow up period. The overall failure rate among tympanoplasty using temporalis fascia graft( GROUPA) and tympanoplasty using composite cartilage graft ( GROUPB ) technique were 16.00% (n=4) and 8.00% (n=2) respectively. So the distribution of surgical outcome in terms of success rate or failure rate was statistically insignicant in the two study groups (p= 0.384). So the distribution of surgical outcome in terms of success rate or failure rate cartilage composite graft gives a denitely better result than temporalis fascia graft. However, the two method did not differ signicantly in terms of hearing improvement.

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“…Different graft materials and techniques have been described like temporalis fascia, perichondrium, periosteum, vein, duramater and cartilage 3 .…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Myringoplasty with d without Cortical Mastoidectomy Comparative Study between Elastic Nail Versus Plates and Screws in the Treatment of Diaphyseal Both Bone Forearm Fracture in Children

2020

IJPHRD

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Objective: Evaluate the outcome of myringoplasty with and without cortical mastoidectomy regarding the graft take and hearing improvement in none-cholesteatomatous chronic suppurative otitis media. Materials and Method:This prospective study was done on 50 patients who suffered from long-standing perforation of the tympanic membrane. Among these patients who underwent surgery 34 patients were subjected to myringoplasty with cortical mastoidectomy (Group I) and in the remaining 16 patients had myringoplasty alone (Group II). Results:The hearing gain (dB) in myringoplasty combined with cortical mastoidectomy in (group I) after 6 months was (16.03) dB and in (group II) who underwent the only myringoplasty was (15.31) DB. Overall Graft uptake was 88.0 %. Although myringoplasty with cortical mastoidectomy was better than a group of myringoplasty alone in hearing improvement and graft take the differences between the two groups were statistically not significant. Age, sex and the side of perforation had no bearing on graft take in this study. Conclusion:Myringoplasty is an effective method for closure of the tympanic membrane perforations and for hearing improvement.

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Role of Cartilage as a Graft Material for Tympanic Membrane and in Middle Ear Reconstruction

Cited by 6 publications

References 18 publications

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

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

Comparative Study of Tympanoplasty With Conventional Temporalis Fascia Graft Versus Tragal Cartilage Perichondrium Graft

The Outcome of Myringoplasty with d without Cortical Mastoidectomy Comparative Study between Elastic Nail Versus Plates and Screws in the Treatment of Diaphyseal Both Bone Forearm Fracture in Children

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