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Comparison of tragal perichondrium with cubism graft in endoscopic tympanoplasty in small- to medium-size tympanic membrane perforations

Published online by Cambridge University Press:  14 November 2024

Nehal Lal Open the ORCID record for Nehal Lal [Opens in a new window]
Nehal Lal*
Affiliation:
Department of ENT & Head and Neck Surgery, Maulana Azad Medical College, New Delhi, India
*
Corresponding author: Nehal Lal; Email: [email protected]
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Abstract

Background

Cubism graft technique offers controlled thinning of the cartilage and prevents over-curling. This article compares tragal perichondrium with the new cubism graft in tympanoplasty in small- to medium-size tympanic membrane perforations.

Methodology

In our study, we included 40 patients, where tragal perichondrium was used as a graft in 20 patients, while cubism graft with tragal cartilage was used in the other 20 patients.

Results

Only two patients had a failure in graft uptake in the tragal perichondrium group, while three patients had a failure in graft uptake in the group where cubism graft with tragal cartilage was used. Significant closure of the air-bone gap (≥ 9 dB) was observed in post-operative audiogram at three-month follow-up in both groups.

Conclusion

This study concludes that the new cubism graft is comparable to tragal perichondrium graft in terms of graft uptake and closure of the air-bone gap.

Keywords

Cubism graftPlatelet-rich fibrinTragal perichondriumChronic otitis mediaTympanoplasty
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 5
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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