A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue
Introduction: Various materials have been used in tympanoplasty to ensure the adherence of the graft with the remnant tympanic membrane. This study aims to compare the clinical outcomes of type I tympanoplasty done with and without fibrin glue. Materials and Methods: This is a pr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
The Association of Otolaryngologists of India, West Bengal
2019-04-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/220 |
| _version_ | 1797225178554433536 |
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| author | Somu Lakshmanan Preethi Umamaheswaran |
| author_facet | Somu Lakshmanan Preethi Umamaheswaran |
| author_sort | Somu Lakshmanan |
| collection | DOAJ |
| description | Introduction:
Various materials have been used in tympanoplasty to ensure the adherence of the graft with the remnant tympanic membrane. This study aims to compare the clinical outcomes of type I tympanoplasty done with and without fibrin glue.
Materials and Methods:
This is a prospective comparative study conducted in a tertiary care centre between August 2014 and July 2016. A sample size of 70 patients was used. The patients were randomly divided into two groups – Group A and Group B. Patients in group A underwent tympanoplasty with fibrin glue and patients in group B underwent tympanoplasty without fibrin glue. The patients were followed up for 6 months and the postoperative hearing improvement and graft uptake rates were compared.
Results:
The pre-operative mean pure tone average for group A was 34.33±7.3dB; it improved to 22.14±6.5 at the end of 6 months. In group B, it improved from 34.25±8dB to 22.64±7.4dB at the end of 6 months. There was no statistical significance in hearing improvement between both the groups. Though there was no statistically significant difference in the graft uptake rates between group A (94.3%) and group B (91.4%), fibrin glue had better outcomes with larger perforations.
Conclusion:
The use of fibrin glue in tympanoplasty is safe and it has a particular advantage in the graft uptake in subtotal perforations. |
| first_indexed | 2024-03-09T06:44:50Z |
| format | Article |
| id | doaj.art-e78f3ceb606b4aaea943e04876ddea44 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-04-24T14:04:53Z |
| publishDate | 2019-04-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-e78f3ceb606b4aaea943e04876ddea442024-04-03T10:41:02ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-04-0127110.47210/bjohns.2019.v27i1.220A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin GlueSomu Lakshmanan0Preethi Umamaheswaran1Sri Ramachandra Institute of Higher Education and Research Porur, Chennai -600011Apollo Specialty Hospital, ChennaiIntroduction: Various materials have been used in tympanoplasty to ensure the adherence of the graft with the remnant tympanic membrane. This study aims to compare the clinical outcomes of type I tympanoplasty done with and without fibrin glue. Materials and Methods: This is a prospective comparative study conducted in a tertiary care centre between August 2014 and July 2016. A sample size of 70 patients was used. The patients were randomly divided into two groups – Group A and Group B. Patients in group A underwent tympanoplasty with fibrin glue and patients in group B underwent tympanoplasty without fibrin glue. The patients were followed up for 6 months and the postoperative hearing improvement and graft uptake rates were compared. Results: The pre-operative mean pure tone average for group A was 34.33±7.3dB; it improved to 22.14±6.5 at the end of 6 months. In group B, it improved from 34.25±8dB to 22.64±7.4dB at the end of 6 months. There was no statistical significance in hearing improvement between both the groups. Though there was no statistically significant difference in the graft uptake rates between group A (94.3%) and group B (91.4%), fibrin glue had better outcomes with larger perforations. Conclusion: The use of fibrin glue in tympanoplasty is safe and it has a particular advantage in the graft uptake in subtotal perforations.https://bjohns.in/journal3/index.php/bjohns/article/view/220TympanoplastyFibrin Tissue Adhesive |
| spellingShingle | Somu Lakshmanan Preethi Umamaheswaran A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue Bengal Journal of Otolaryngology and Head Neck Surgery Tympanoplasty Fibrin Tissue Adhesive |
| title | A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue |
| title_full | A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue |
| title_fullStr | A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue |
| title_full_unstemmed | A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue |
| title_short | A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue |
| title_sort | comparative study of outcomes of type i tympanoplasty with or without fibrin glue |
| topic | Tympanoplasty Fibrin Tissue Adhesive |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/220 |
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