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Cartilage rim augmented fascia tympanoplasty: a more effective composite graft model than temporalis fascia tympanoplasty

Published online by Cambridge University Press:  11 June 2018

A A Kolethekkat ,
R Al Abri ,
K Al Zaabi ,
N Al Marhoobi ,
S Jose ,
S Pillai  and
J Mathew
A A Kolethekkat*
Affiliation:
ENT Division, Department of Surgery, Sultan Qaboos University Hospital, Al Khoud, Oman
R Al Abri
Affiliation:
ENT Division, Department of Surgery, Sultan Qaboos University Hospital, Al Khoud, Oman
K Al Zaabi
Affiliation:
ENT Specialty, Oman Medical Specialty Board, Oman
N Al Marhoobi
Affiliation:
ENT Specialty, Oman Medical Specialty Board, Oman
S Jose
Affiliation:
Department of Statistics, Oman Medical Specialty Board, Oman
S Pillai
Affiliation:
ENT Division, Department of Surgery, Sultan Qaboos University Hospital, Al Khoud, Oman
J Mathew
Affiliation:
ENT Division, Department of Surgery, Sultan Qaboos University Hospital, Al Khoud, Oman
*
Address for correspondence: Dr Arif Ali Kolethekkat, ENT Division, Department of Surgery, Sultan Qaboos University Hospital, PC 123, PO Box 38, Al Khoud, Sultanate of Oman E-mail: [email protected]
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Abstract

Objective

To validate a newly introduced cartilage rim augmented temporalis fascia tympanoplasty technique by statistically comparing it with the morphological and audiological outcomes of traditional temporalis fascia tympanoplasty.

Methods

A retrospective comparative study was conducted on 115 patients who underwent tympanoplasty during 2013 and 2015. Fifty-eight patients underwent temporalis fascia tympanoplasty and 57 underwent cartilage rim augmented fascia tympanoplasty.

Results

In the cartilage fascia group, graft healing was achieved in 94.7 per cent of cases; in the temporalis fascia group, the graft take-up rate was 70 per cent. In those with a normal ossicular chain, the post-operative air–bone gap was within 20 dB in 92.6 per cent of cartilage fascia group cases and in 69.7 per cent of the temporalis fascia group cases, which was a statistically significant difference. Among the defective ossicular chain cases, the post-operative air–bone gap was within 20 dB in 76.9 per cent in the cartilage fascia group, as against 57.1 per cent in the temporalis fascia group.

Conclusion

Cartilage rim augmented temporalis fascia tympanoplasty has a definite advantage over the temporalis fascia technique in terms of superior graft take up and statistically significant hearing gain in those with normal ossicular mobility.

Keywords

CartilageFasciaTympanoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 6 , June 2018 , pp. 497 - 504
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr A A Kolethekkat takes responsibility for the integrity of the content of the paper

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