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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Comparative Study on Results of Surgical Procedure i.e. Tympanoplasty by Using Temporalis Fascia and Cartilage Island as Autologous Grafting Material

Vineet , Ashok Kumar, Garima , Divya Garg and Arka Mondal
Page: 255-260 | Received 24 Dec 2023, Published online: 23 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.4.255.260

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Abstract

A high‐risk perforation refers to a situation where a revision surgery is required, the perforation occurs in front of the annulus, the perforation is draining during operation, the perforation is more than 50%, or there is a perforation on both sides. The objective of this study was to compare the outcomes of graft uptake and hearing improvement between temporalis fascia and cartilage island tympanoplasty. The surgical procedure Tympanoplasty was conducted concurrently on a total of 60 patients who were attending St. Stephen's Hospital. The patients were separated into two groups, with each group consisting of 30 patients. In Group A, the surgery involved the use of temporalis fascia, while in Group B, cartilage island was used. The status of graft was evaluated 21 days after the procedure and the hearing exam was conducted 8 weeks following the surgery. This study demonstrates that the rate of cartilage island graft uptake in patients was 96.7%, but the uptake rate in the temporalis fascia group was 90%. However, there was no statistically significant difference between the two groups (p value >0.05). The average increase in air bone gap in the cartilage island group was 12±6.37 dB, while it was 14.33±6.66 dB in the temporalis fascia group. There was no significant difference between the two groups, with a p value greater than 0.05. Based on this, it can be inferred that when it comes to tympanoplasty, both cartilage island graft and temporalis fascia are equally effective as autologous graft materials.

How to cite this article:

Vineet , Ashok Kumar, Garima , Divya Garg and Arka Mondal. A Comparative Study on Results of Surgical Procedure i.e. Tympanoplasty by Using Temporalis Fascia and Cartilage Island as Autologous Grafting Material.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.255.260
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.255.260