Study the Comparison of Cartilage Tympanoplasty vs Temporalis Fascia Graft Techniques at a Tertiary Care Centre
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Abstract
Background: The study compares the post-operative restoration of hearing in patients undergoing Tympanoplasty for chronic otitis media, specifically between the use of Cartilage Graft and Temporalis Fascia Graft. Key objectives include assessing the success rate, post-operative failure, and hearing status after surgery with both graft techniques. Methods: A prospective study, to examine chronic otitis media, including various perforations and trauma. Patients excluded from the study included those with acute otitis media, otosclerosis, congenital hearing disorder, sensorineural hearing loss, active intracranial complications, diabetes mellitus, HIV, TB, radical mastoidectomy, and only hearing ear. Results: Total of 60 patients underwent tympanoplasty using either temporalis fascia or cartilage island. Both groups had similar age and gender distributions, with mean durations of graft uptake at 7.88±6.34 months for temporalis fascia and 9.68±5.80 months for cartilage island. Trauma was the cause in 16.67% of the temporalis fascia cases and 13.13% in the cartilage island cases. Graft uptake rates were 83.33% for temporalis fascia and 90.0% for cartilage island, showing no significant differences, with medialization in 16.67% of patients and no complications reported. Conclusions: The study indicated that cartilage island groups had higher uptake rates, while the temporalis fascia group did not experience significant pain. Additional research is necessary to assess long-term effects.
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Copyright (c) 2025 Dr Vivek Singh, Dr Krishna Kumar Chaubey, Dr Onkar Vedak
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Dr Vivek Singh, Assistant professor, Department of ENT, Autonomous State Medical College, Hardoi, Uttar Pradesh, India.
Assistant professor, Department of ENT, Autonomous State Medical College, Hardoi, Uttar Pradesh, India.
Dr Krishna Kumar Chaubey, Assistant Professor, SSPM Medical College and Life Time Hospital, Maharashtra, India.
Assistant Professor, SSPM Medical College and Life Time Hospital, Maharashtra, India.
Dr Onkar Vedak, Consultant, Department of ENT, Shri Gorakshnath Medical Collee Hospital & Research Centre, Gorakhpur, Uttar Pradesh, India.
Consultant, Department of ENT, Shri Gorakshnath Medical Collee Hospital & Research Centre, Gorakhpur, Uttar Pradesh, India.
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