Abstract
Aim: Comparison of the Temporalis Fascia & tragalcartilage with perichondrium graft material in Type I tympanoplasty in cases of tubotympanic CSOM.
CSOM can cause significant morbidity in patients due to recurrent discharge, deafness, and various complications. Tympanoplasty is 1st line approach to these problems and prevention of the further complication.
Method: This study involves the patient of tubotympanic type of CSOM presenting in OPD of ORL department in Index medical college, hospital & research center, Indore from Jan 2017 to June 2019. Patients were divided randomly in two groups. One group was operated using temporalis fascia and another group with tragal cartilage with perichondrium. Pre operative pure tone audiometry was obtained in all the patients. This was compared post operative pure tone audiometry conducted after 12 weeks. Hearing improvement along with other parameters as graft uptake, graft material used and patient’s subjective improvement were also noted.
Results: Out of 60 cases 30 were operated using ‘temporalis fascia graft’& rest were with ‘tragal cartilage with perichondrium’. On comparison of hearing improvement both the group had no statistical difference in hearing.
Conclusion: Tragalcartilage with perichondrium & temporalis fascia are both comparable in terms of graft uptake & hearing improvement.
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Corresponding Author
Dr Saurabh Vijay
PG Resident, Deptt of Otorhinolaryngology, Index Medical College Hospital & Research Center, Indore, MP, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.76
