Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforations

Background: Tympanoplasty is the most common ear surgery that is performed worldwide. From time immemorial, otolaryngologists worldwide used to perform this operation through the conventional post aural route. This technique no doubt is still the most popular, but it also brings in a lot of disadvan...

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Main Authors: Binayak Baruah, Ajay Gupta, Alok Kumar
Format: Article
Language:English
Published: Al Ameen Medical College 2019-10-01
Series:Al Ameen Journal of Medical Sciences
Subjects:
Online Access:http://ajms.alameenmedical.org/ArticlePDFs/8%20AJMS%20V12.N4.2019%20p%20217-220.pdf
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author Binayak Baruah
Ajay Gupta
Alok Kumar
author_facet Binayak Baruah
Ajay Gupta
Alok Kumar
author_sort Binayak Baruah
collection DOAJ
description Background: Tympanoplasty is the most common ear surgery that is performed worldwide. From time immemorial, otolaryngologists worldwide used to perform this operation through the conventional post aural route. This technique no doubt is still the most popular, but it also brings in a lot of disadvantages like post-operative scar, increase morbidity and hospital stay. Hence, the need arised for a more effective, quick and robust technique. Aim: This study is to assess the clinical and audiometric success rate of the new tragal cartilage plug or butterfly technique tympanoplasty. Materials and Methods: We assessed 30 patients (ages between16-55 years) who underwent tragal cartilage plug tympanoplasty. It was a one year prospective clinical study. Results: Out of 30 patients, graft was taken up in 27 and in rest 3 there was residual perforation with an overall success rate of 90%. The anatomical success was assessed by otoscopy with graft well set in place. While functional success was analysed by audiogram, which showed decrease in Air-Bone (A-B) gap in 25 patients (83.3%). Conclusion: Considering the results attained, this method of tympanoplasty should be considered as a good alternative treatment option for repair of tympanic membrane perforations.
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spelling doaj.art-6ba76e3fb87247c0b3003b172d8ec8802022-12-22T03:19:10ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11430974-11432019-10-011204217220Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforationsBinayak Baruah0Ajay Gupta1Alok Kumar2Department of ENT, Tata Main Hospital, C Road West, Northern Town, Jamshedpur-831001, Jharkhand, IndiaDepartment of ENT, Tata Main Hospital, C Road West, Northern Town, Jamshedpur-831001, Jharkhand, IndiaDepartment of ENT, Tata Main Hospital, C Road West, Northern Town, Jamshedpur-831001, Jharkhand, IndiaBackground: Tympanoplasty is the most common ear surgery that is performed worldwide. From time immemorial, otolaryngologists worldwide used to perform this operation through the conventional post aural route. This technique no doubt is still the most popular, but it also brings in a lot of disadvantages like post-operative scar, increase morbidity and hospital stay. Hence, the need arised for a more effective, quick and robust technique. Aim: This study is to assess the clinical and audiometric success rate of the new tragal cartilage plug or butterfly technique tympanoplasty. Materials and Methods: We assessed 30 patients (ages between16-55 years) who underwent tragal cartilage plug tympanoplasty. It was a one year prospective clinical study. Results: Out of 30 patients, graft was taken up in 27 and in rest 3 there was residual perforation with an overall success rate of 90%. The anatomical success was assessed by otoscopy with graft well set in place. While functional success was analysed by audiogram, which showed decrease in Air-Bone (A-B) gap in 25 patients (83.3%). Conclusion: Considering the results attained, this method of tympanoplasty should be considered as a good alternative treatment option for repair of tympanic membrane perforations.http://ajms.alameenmedical.org/ArticlePDFs/8%20AJMS%20V12.N4.2019%20p%20217-220.pdfTragal CartilageButterfly TechniqueTympanoplasty
spellingShingle Binayak Baruah
Ajay Gupta
Alok Kumar
Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforations
Al Ameen Journal of Medical Sciences
Tragal Cartilage
Butterfly Technique
Tympanoplasty
title Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforations
title_full Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforations
title_fullStr Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforations
title_full_unstemmed Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforations
title_short Transcanal tragal cartilage plug tympanoplasty: An alternative approach for management of small and medium sized ear perforations
title_sort transcanal tragal cartilage plug tympanoplasty an alternative approach for management of small and medium sized ear perforations
topic Tragal Cartilage
Butterfly Technique
Tympanoplasty
url http://ajms.alameenmedical.org/ArticlePDFs/8%20AJMS%20V12.N4.2019%20p%20217-220.pdf
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AT ajaygupta transcanaltragalcartilageplugtympanoplastyanalternativeapproachformanagementofsmallandmediumsizedearperforations
AT alokkumar transcanaltragalcartilageplugtympanoplastyanalternativeapproachformanagementofsmallandmediumsizedearperforations