RELATIONSHIP BETWEEN THE DURATION OF DISEASE AND THE OUTCOME OF TYMPANOPLASTY USING TEMPORALIS FASCIA AND TRAGAL CARTILAGE
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Keywords
Pure Tone Audiometry, Temporalis Fascia, Tragal Cartilage, Tympanoplasty.
Abstract
Objective: To study the results of Tympanoplasty done using fascia over temporalis muscle and tragal cartilage, the comparison was done in terms of graft uptake and audiological outcome and study the relationship between duration of ear discharge and graft uptake in Tympanoplasty.
Methods: A sample of 100 patients with chronic otitis media-mucosal disease were enrolled in the study. The patients were randomly assigned to either the tragal cartilage group (Group A) or the temporalis fascia (Group B). Patients underwent Tympanoplasty with cartilage or temporalis fascia graft. A comparison was made among the two groups according to the air-bone gap in pure tone audiogram done before and after surgery and the tympanic membrane status in the post-operative period.
Results: In our study, graft uptake of the cartilage group is 88% which is 44 out of 50 patients, and the temporalis fascia group is 45 out of 50 (90%). Duration of ear discharge does not affect graft uptake in Tympanoplasty. The air-bone gap gain between the two groups shows p-value= 0.3, which is statistically insignificant. So, it proves that there is no significant difference in terms of audiological gain achieved irrespective of the graft material used in Tympanoplasty.
Conclusion: The present study shows that the duration of ear discharge does not affect graft uptake in Tympanoplasty. Our study shows no significant difference neither in the surgical success rate of graft uptake nor hearing gain between the two groups.
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Dr. Sravanthi Puvvada
Associate Professor, Department of Otorhinolaryngology, Meenakshi Medical College Hospital & Research Institute, Enathur, Kanchipuram, Tamil Nadu, India.
Dr. K.N. Praveen Kumar
Assistant Professor, Department of ENT, Government Vellore Medical College & Hospital, Vellore, Tamil Nadu, India
Dr. M. Kalidass
Associate Professor, Department of ENT, Government Vellore Medical College, Vellore, Tamil Nadu, India
Dr. M. Kumar
Assistant Professor, Department of ENT, Upgraded Institute of Otorhinolaryngology, Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai, Tamil Nadu, India.