Comparative Study of Palisade Cartilage Tympanoplasty with Temporalis Fascia Tympanoplasty in CSOM with Subtotal Perforations
30 September 2019 (online)
Objective To assess and compare the graft acceptance rates and audiological outcomes of palisade cartilage tympanoplasty with those of temporalis fascia tympanoplasty in CSOM with subtotal perforation.
Materials and Methods A prospective study containing 50 patients with the diagnosis of CSOM with subtotal perforations attending the department of ENT, K. R. Hospital between January 2017 and December 2017. Patients were divided into two groups with equal number of patients in each group. Detailed history and clinical examination along with PTA (pure tone audiometry) were performed. Pre- and postoperative graft success results and hearing improvement results were assessed and compared.
Results Significant hearing improvement was seen in both types of surgeries. Graft success rates and hearing results were slightly better in temporalis fascia tympanoplasty than cartilage tympanoplasty. But the difference was not statistically significant.
Conclusion Tympanoplasty is the surgical procedure done for the management of CSOM with subtotal perforation. Both temporalis fascia and cartilage are excellent graft materials for closure of perforations and hearing improvement. But there was no statistically significant difference in surgical success rate and hearing gain between the two groups.