A comparative study of Type-I underlay tympanoplasty using tragal cartilage versus temporalis fascia graft | [Rawal Medical Journal • 2023]

Author(s):

1. Umair Ishfaq: Department of ENT, Rawalpindi Medical University, Pakistan

2. Sadia Chaudhry: Department of ENT, Rawalpindi Medical University, Pakistan

3. Mahwash Umair: Department of ENT, Rawalpindi Medical University, Pakistan

4. Ashar Alamgir: Department of ENT, Rawalpindi Medical University, Pakistan

5. Wajid Hussain: Department of Medicine, FUIC, Fauji Foundation Hospital, Rawalpindi, Pakistan

6. Muhammad Saleem: Aziz Fatima Medical College, Faisalabad, Pakistan

Abstract:

Objective: To compare effectiveness of graft uptake between tragal cartilage and temporal fascia in patients undergoing Type-I underlay tympanoplasty. Methodology: This randomized controlled trial was conducted in ENT Department, Combined Military Hospital Rawalpindi from 20th Feb to 19th August 2019. A total of 80 patients of both genders aged between 20 - 40 years were divided randomly into two groups. Non-probability consecutive sampling was used. Tragal cartilage Type-I underlay Tympanoplasty was performed on Group-A, while Group-B underwent temporalis fascia Type-I underlay Tympanoplasty. Results: Out of 80 patients, 42 (52.5%) were men and 38 (47.5%) women. Mean age was 29.41 ± 5.75 years. Mean duration of symptoms ranged from 7.03 ± 3.74 years. Perforation was = 25% in 44 (55.0%) patients while 25 – 50% and > 50% in 19 (23.8%) and 17 (21.2%) patients, respectively. The effectiveness was significantly higher in patients undergoing Tragal cartilage Type-I underlay Tympanoplasty (100.0% vs. 72.5%; p = 0.000) as compared to temporalis fascia Type-I underlay Tympanoplasty. Same difference was observed across all age, gender, duration of symptoms and size of perforation groups. Conclusion: Tragal cartilage Type-I underlay Tympanoplasty was more effective (100.0% vs. 72.5%; p = 0.000) as compared to Temporalis fascia Type-I underlay Tympanoplasty regardless of patient’s age, gender, duration of symptoms and size of perforation.

Page(s): 735-738

DOI: DOI not available

Published: Journal: Rawal Medical Journal, Volume: 48, Issue: 3, Year: 2023

Keywords:

tragal cartilage , temporalis fascia , TypeI underlay tympanoplasty

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