COMPARATIVE STUDY BETWEEEN TEMPORALIS FASCIA VERSUS TRAGAL PERICHONDRIUM GRAFT IN TYPE 1 TYMPANOPLASTY

DR WILSON DESAI; DR SACHIN NILAKHE; DR HEMRAJ SATPUTE

Volume : V, Issue : VI, June - 2016

COMPARATIVE STUDY BETWEEEN TEMPORALIS FASCIA VERSUS TRAGAL PERICHONDRIUM GRAFT IN TYPE 1 TYMPANOPLASTY

Dr Wilson Desai, Dr Sachin Nilakhe, Dr Hemraj Satpute

Abstract :

 The perforation of the tympanic memane may be of traumatic origin or due to chronic otitis media. If a perforation fails to heal conservatively, they require surgical closure. Autologous graft materials have stood test of time, in repairing of tympanic memane perforations. In our tertiary care institution we conducted a prospective study trial on 60 subjects, to evaluate the comparative efficacy of Temporalis fascia & Tragal perichondrium as grafting material in underlay Type 1 Tympanoplasty. In this study surgical success was evaluated, in terms of closure of tympanic memane perforation & closure of air–bone gap, within 10dB during the follow up period. Temporalis fascia achieved 83% graft uptake & satisfactory he� improvement in 76% of patients. Tragal perichondrium achieved a success rate of 86% graft uptake & 83% he� gain. The rates are comparable with no statistical significance of difference between them.