A STUDY OF GRAFT TAKE-UP IN TYPE-1 TYMPANOPLASTY WITH ANTERIOR TUCKING TECHNIQUE

Dr. H. Ravi Kishore; Dr. Malige Rajkamal; Dr.Avinash Padmashali

Volume : VIII, Issue : IV, April - 2018

A STUDY OF GRAFT TAKE-UP IN TYPE-1 TYMPANOPLASTY WITH ANTERIOR TUCKING TECHNIQUE

Dr. H. Ravi Kishore, Dr. Malige Rajkamal, Dr. Avinash Padmashali

Abstract :

Tympanoplasty is an operation performed to eradicate the disease in the middle ear and to reconstruct the heå mechanism with tympanic memane grafting. Wullstein[1953] introduced the tympanoplasty procedure. Type–1 tympanoplasty technique is of two types viz overlay and underlay [Shea1960].

Anterior tucking is a useful step in tympanoplasty, done mainly when anterior margin is very thin as in large and subtotalcentral perforations.

A retrospective study of 30patients of mucosal type of COM, between the age group of 14 and 45 years was undertaken to analyze the results of Type–1 tympanoplasty [underlay technique] with anterior tucking in mucosal type of CSOM, in terms of graft take–up and associated complications.

The graft take up success rate was 96.96% in large and subtotal perforations. Anterior tucking method in Type–1 tympanoplasty (underlay technique) had better results with respect to graft uptake. The post–operative outcome was encouraging in terms of graft take–up and the post–operative complications.