Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal Perforations
Introduction: To demonstrate surgical techniques and to compare the anatomical and functional outcomes between temporalis fascia and cartilage palisade grafting in type-I underlay tympanoplasty in patients with large/subtotal perforation.Materials and Methods:Temporalis fascia and cartilage palisade...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2017-03-01
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| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://ijorl.mums.ac.ir/article_8298_48efd10bf9f334cc2da8cea46026d698.pdf |
| _version_ | 1819261505598652416 |
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| author | Pradeep Pradhan Abhimanyu Anant Vellore - Pattabhiram Venkatachalam |
| author_facet | Pradeep Pradhan Abhimanyu Anant Vellore - Pattabhiram Venkatachalam |
| author_sort | Pradeep Pradhan |
| collection | DOAJ |
| description | Introduction: To demonstrate surgical techniques and to compare the anatomical and functional outcomes between temporalis fascia and cartilage palisade grafting in type-I underlay tympanoplasty in patients with large/subtotal perforation.Materials and Methods:Temporalis fascia and cartilage palisade grafting were conducted in Group A and Group B, respectively, each containing 30 patients with large/subtotal perforations. Pure tone audiogram (PTA) and speech reception thresholds (SRT) were performed preoperatively and at each postoperative visit; i.e. at the end of Month 1,3,6, and 24. A 10-dB closure of air bone gap (ABG) and a 10-dB improvement in SRT were considered significant. Results:The graft uptake rates were 80% and 96.7% in Group A and Group B, respectively, at the end of 24 months. In total, 90% of Group A and 88% in Group B had significant improvement in hearing (ABG ≥10 dB). The mean improvement in SRT in the fascia and cartilage groups was 10 dB and 9 dB, respectively. Seventy-five percent of patients in Group A and 60% of patients in Group B had a significant gain in SRT. Conclusion:Although both temporalis fascia and cartilage palisades can effectively be used for tympanic membrane (TM) grafting in difficult perforations, the latter is considered to be the better autograft, not only because of superior graft uptake but also because it results in a comparable hearing outcome. |
| first_indexed | 2024-12-23T19:42:52Z |
| format | Article |
| id | doaj.art-47002635645d4267aca6d60da7c45c8f |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-12-23T19:42:52Z |
| publishDate | 2017-03-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-47002635645d4267aca6d60da7c45c8f2022-12-21T17:33:37ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2017-03-01292636810.22038/ijorl.2017.18979.16378298Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal PerforationsPradeep Pradhan0Abhimanyu Anant1Vellore - Pattabhiram Venkatachalam2Department of Otorhinolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, IndiaDepartment of Otorhinolaryngology, Safdarjung Hospital & Vardhmann Mahavir Medical College, Ansari Nagar, New Delhi, India.Department of Otorhinolaryngology, Safdarjung Hospital & Vardhmann Mahavir Medical College, Ansari Nagar, New Delhi, India.Introduction: To demonstrate surgical techniques and to compare the anatomical and functional outcomes between temporalis fascia and cartilage palisade grafting in type-I underlay tympanoplasty in patients with large/subtotal perforation.Materials and Methods:Temporalis fascia and cartilage palisade grafting were conducted in Group A and Group B, respectively, each containing 30 patients with large/subtotal perforations. Pure tone audiogram (PTA) and speech reception thresholds (SRT) were performed preoperatively and at each postoperative visit; i.e. at the end of Month 1,3,6, and 24. A 10-dB closure of air bone gap (ABG) and a 10-dB improvement in SRT were considered significant. Results:The graft uptake rates were 80% and 96.7% in Group A and Group B, respectively, at the end of 24 months. In total, 90% of Group A and 88% in Group B had significant improvement in hearing (ABG ≥10 dB). The mean improvement in SRT in the fascia and cartilage groups was 10 dB and 9 dB, respectively. Seventy-five percent of patients in Group A and 60% of patients in Group B had a significant gain in SRT. Conclusion:Although both temporalis fascia and cartilage palisades can effectively be used for tympanic membrane (TM) grafting in difficult perforations, the latter is considered to be the better autograft, not only because of superior graft uptake but also because it results in a comparable hearing outcome.http://ijorl.mums.ac.ir/article_8298_48efd10bf9f334cc2da8cea46026d698.pdfCartilageTemporalis fasciaTympanoplasty |
| spellingShingle | Pradeep Pradhan Abhimanyu Anant Vellore - Pattabhiram Venkatachalam Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal Perforations Iranian Journal of Otorhinolaryngology Cartilage Temporalis fascia Tympanoplasty |
| title | Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal Perforations |
| title_full | Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal Perforations |
| title_fullStr | Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal Perforations |
| title_full_unstemmed | Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal Perforations |
| title_short | Comparison of Temporalis Fascia and Full-Thickness Cartilage Palisades in Type-I Underlay Tympanoplasty for Large/Subtotal Perforations |
| title_sort | comparison of temporalis fascia and full thickness cartilage palisades in type i underlay tympanoplasty for large subtotal perforations |
| topic | Cartilage Temporalis fascia Tympanoplasty |
| url | http://ijorl.mums.ac.ir/article_8298_48efd10bf9f334cc2da8cea46026d698.pdf |
| work_keys_str_mv | AT pradeeppradhan comparisonoftemporalisfasciaandfullthicknesscartilagepalisadesintypeiunderlaytympanoplastyforlargesubtotalperforations AT abhimanyuanant comparisonoftemporalisfasciaandfullthicknesscartilagepalisadesintypeiunderlaytympanoplastyforlargesubtotalperforations AT vellorepattabhiramvenkatachalam comparisonoftemporalisfasciaandfullthicknesscartilagepalisadesintypeiunderlaytympanoplastyforlargesubtotalperforations |