Comparison of Tympanoplasty with Temporalis Fascia and Tragal Perichondrium in Sarwari Hospital

Authors

  • Ghafoor Shah ENT Department, Medical Faculty, Shaikh Zayed University, Khost, Afghanistan
  • Mohammad Kamil Sabirzai Genral Surgery Deparmet, Medical Faculty, Shaikh Zayed University, Khost, Afghanistan

DOI:

https://doi.org/10.53555/hsn.v7i2.1551

Keywords:

Myringoplasty, Temporal Facia, Tragal Perichondrium, CSOM

Abstract

Objective: To compare the outcome of Temporal facia and Tragal Perichondrium in myringoplasty procedure in term graft uptake.

Methodology: This was a comparative retrospective randomized control study which was conducted at Sarwari Hospital during 17 months (from 14th july, 2019 to 15th November 2020). It included sixty (13 – 56 years with mean age of 27.48±33) patients which were divided in two groups, each one having 30 patients. Temporalis fascia and tragal perichondrium were used for graft purpose in group A and group B patirents, respectively.   

Results: It was a comparative retrospective randomized control study which was performed in   60 patients during 17 months (from 14th july, 2019 to 15th November 2020). The age of the patients ranged 13- 56 years with mean age of 27.48±33.  Overall success rate of graft uptake was noted in   28 patients (93.3%) out of 30 cases in group A and 21 paitients  (70%)out of 30 cases in group B . The data were analysed in SPSS software (ver-22). The p-value less than 0.05 was considered significant.

Conclusion: Temporal facia is statistically more successful as compared to tragal perichondrium in term of graft uptake in myringoplasty, so we recommend temporal facia graft for management of perforated tympanic membrane.

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References

Ludman H. Reconstruction’s of the middle ear. In: Mawason’s Diseases of the ear, 6th edn, London,Edward Arnold, 1998: 432-33.

R. P. Mills. Management of chronic suppurative otitis media. In: John B. Booth, Editor, Scott- Brown’s Otolaryngology, 6th ed. London: Butterworth, 1997: 1-11.

Ludman H. Applied anatomy In: Mawson’s Diseases of the Ear, 5th ed. London, Edward Arnold, 1988: 17-25.

Caylan R, Titiz A, Falcioni M, De Donato G, Russo A, Taibah AA, et al. Myringoplasty Children: Factors influencing surgical outcome. Otolaryngol Head Neck Surg 1998; 118: 709-13.

Gray RF, Hawthorne M. In: Synopsis of Otolaryngology, 5th edn. London: Butterworth Heinemann,1992: 3-117.

Anthony WP. Harrison CM. Tympanice membrane perforation: Effect on audiogram. Arch Otolaryngology 1972; 95: 506-10.

Spiros Manolidis. Closure of Tympanic Membrane Perforations. In: Glasscock ME III & Gulya AJ,

Editors, Glasscock- Shambaugh: Surgery of the Ear 5th ed. Hamilton: BC Decker, Inc, 2003

Wullstein H. Funktionelle Operationen im Mittelohr mit Hilfe des freien Spalt- lappen- Transplantates. Arch Ohren- Nasen-uKehlkopfh 1952;161:422.

Zollner F. The principles of plastic surgery of the sound conducting apparatus.J Laryngol Otol

;69:637.Journal of Nobel Medical College Vol. 2, No.1 Issue 3 42

Zollner F. Panel of myringoplasty. Second workshop on reconstructive middle ear surgery. Arch Otol 1963;78:301.

Heermann H. Tympanic membrane plastic with temporal fascia. Hals-Nasen-Ohrenh 1960;9:136.

Shea JJ. Vein graft closure of eardrum, perforations. J Laryngol Otol 1960; 74:358.

Yung-MW. Myringoplasty for subtotal perforation. Clin-Otolaryngol. 1995; 20(3): 241-5.

Glasscock ME III, Jackson CG, Nissen AJ, Schwaber MK. Postauricular Undersurface tympanic Membrane grafting: a follow-up report. Laryngoscope 1982;92:718–27.

Sheehy JL, Anderson RG. Myringoplasty. A review of 472 cases. Ann Otol Rhinol Laryngol 1980;89:331–4.

Vrabec JT, Deskin RW,Grady JJ. Metaanalysis of pediatric tympanoplasty. Arch Otolaryngol

Head Neck Surg 1999;125: 530-4.

Timothy. T. K. Jung, MD, Ph.D., and Jonathan Hanson, MD:Classification of Otitis Media and Surgical Principles; Otolaryngologic Clinics of North America; Vol.32; Number 3; June 1999; Page 369-380.

Nicholas J Frootko: Reconstruction of the Ear; Scott-Brown’s Otolaryngology; Vol 3; 5th Edition; 240; 1987.

Raine CH and Singh SD: Tympanoplasty in Children: A Review of 114 Cases; Journal of Laryngology and Otology 1983; 97; 217-221.

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Published

2021-03-31

How to Cite

Shah , G. ., & Sabirzai, M. K. (2021). Comparison of Tympanoplasty with Temporalis Fascia and Tragal Perichondrium in Sarwari Hospital. International Journal For Research In Health Sciences And Nursing, 7(2), 33–36. https://doi.org/10.53555/hsn.v7i2.1551

Issue

Vol. 7 No. 2 (2021): International Journal For Research In Health Sciences And Nursing (ISSN: 2208-2670)

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