A Comparative Study of Temporalis Fascia versus Tragal Perichondrium as Graft in Repair of Tympanic Membrane Perforation

G Shaul Hameed, B Durga Prasad, P Ravi Babu

Abstract


The perforations of the tympanic membrane may be of traumatic origin or due to chronic suppurative otitis media If the perforations fail to heal conservatively, they require surgical closure. Autologous graft materials have stood the test of time in repairing tympanic membrane perforations. In our tertiary care institution, we conducted aprospective randomised control trial on 20 subjects to evaluate the comparative efficacy of temporalis fascia and tragal perichondrium as grafting material in underlay tympanoplasty. In this study,  surgical success was evaluated in terms of intact drum membrane and minimal complications during the follow-up period. Temporalis fascia achieved a graft uptake of 90% and a satisfactory hearing improvement in 76% of the patients with minimal postoperative complications. Tragal perichondrium achieved a success rate of 80% graft uptake and 75% hearing gain. The rates are comparable with no statistical significance of difference between them.


Full Text:

PDF

References


Zahnert T, Huttenbrink KB, Murbe D, et al. Experimental investigations of the use of cartilage in tympanic membrane reconstruction. Am J Otol 2000;21:322–8.

Silke Thiel, Franz Schoen, Wafaa E Shehata-Dieler, Ralf J Dieler. [3] Results following tympanic membrane reconstruction using cartilage and perichondrium Otolaryngol Head Neck Surg 2003;129(2):218.

Yetiser S, Yusuf H. Temporalis fascia and cartilage perichondrium composite shield graft for reconstruction for tympanic membrane. Ann Otol Rhinol Laryngol 2009;118(8):570–4.

Stacke L. Stacke’s operation methods. Arch Ohrenh 1893;35:145.

Toynbee J. On the use of an artificial membrane tympani in cases of deafness dependent upon perforations or destruction of the natural organ. London: J Churchill & Sons; 1853.

Berthold E. Uber myringoplastik. Medicinisch- Chuutgisches Central-Blatt 1879;14:195–207.

Maheswari A, Panigrahi R, Mahajan S. Graft materials in type I tympanoplasty. Int J Sci Study 015;3(1):29–34.

Strahan RW, Acquarelli M, Ward PH, et al. Tympanic membrane grafting. Analysis of materials and techniques. Ann Otol Rhinol Laryngol 1971;80:854–60.

Singh BJ, Sengupta A, Das SK, et al. A comparative study of different graft materials used in yringoplasty. Indian J Otolaryngol Head Neck Surg 2009;61:131–4.

Sprem N, Branica S, Dawidowsky K. Tympanoplasty after war blast lesions of the ear drum: retrospective

study. Croat Med J 2001;42:642–5.




Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

Print ISSN: 2347-6192

Online ISSN: 2347-6206