Comparison of tragal perichondrium and temporal fascia grafts in tympanoplasties

Selma Hodzic-Redzic, Lana Kovac-Bilic, Srecko Branica

Indian Journal of Otology 2018 24(3):168-171

Objective: The objective of this study was to compare the anatomic and functional outcomes of the different graft materials used in tympanoplasty. Settings and Design: This was an observational, cross-sectional study. Patients and Methods: The study included 243 patients operated at Tertiary Care University Hospital, from January 2011 to December 2015. The study excluded patients who had previous ear surgery and patients with cholesteatoma and nose and paranasal sinuses diseases. Tympanoplasty was done under general anesthesia. The retroauricular approach was primarily used. All grafts were placed using the underlay technique. Audiological testing of all patients was done preoperatively and postoperatively. Statistical Analysis Used: All data were entered into Excel and analyzed using MedCalc Statistical Software version 15.8 (MedCalc Software bvba, Ostend, Belgium). Descriptive statistics was used. Audiological findings were compared using a paired t-test. The value of P < 0.05 was considered statistically significant. Results: The temporal fascia was used as the graft material in 160 patients, and tragal perichondrium was used in 83 patients. Improvement of audiological outcome in patients with temporal fascia amounted 62.5% and in patients with perichondrium amounted 60.24%. The graft success rate 3 months postoperatively was 92.5% in the fascia group whereas it was 95.18% in the perichondrium group. Conclusion: Improvement of audiological outcome was slightly better (62.5%) in the fascia group while graft acceptance in the postoperative period was slightly better (95.18%) in the perichondrium group.

http://bit.ly/2Rqis8w