Anuja, G (2022) A Comparative study to Evaluate the Temporalis Fascia Graft Versus Fascia with Cartilage Graft in Type 1 Tympanoplasty. Masters thesis, K.A.P. Viswanatham Government Medical College, Tiruchirapalli.
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Abstract
INTRODUCTION: Tympanoplasty is a procedure done to achieve a dry ear by eradicating middle ear disease and reconstructing the hearing mechanism. Type 1 Tympanoplasty involves the restoration of the perforated ear drum by grafting and also involves middle ear inspection and ensuring ossicular integrity. The idea of tissue grafting is to replace the missing fibrous element of the tympanic membrane and to allow normal epidermis and mucosa to regenerate over the graft. The result of tympanoplasty is measured by achieving non discharge ear, satisfactory graft uptake and hearing improvement. OBJECTIVES: 1. To compare the graft uptake in patients using temporalis fascia alone and using conchal cartilage support along with temporalis fascia graft. 2. To compare the improvement in conductive hearing loss, using temporalis fascia alone and using conchal cartilage support along with temporalis fascia graft. MATERIALS AND METHODS: STUDY SETTING: The study was conducted in Department of Otorhinolaryngology, KAPV Government Medical College, Mahatma Gandhi Memorial Government Hospital, Trichy. STUDY POPULATION: The study was conducted among the patients diagnosed with safe type of CSOM and admitted in Department of Otorhinolaryngology, KAPV Government Medical College, Mahatma Gandhi Memorial Government Hospital, Trichy. STUDY PERIOD: The data collection for the study was done between November 2020 to October 2021. STUDY DESIGN: It was a Randomized Control Study Design. SAMPLE SIZE & SAMPLING DESIGN: All patients diagnosed with CSOM safe type and admitted in Department of Otorhinolaryngology, KAPV Government Medical College, Mahatma Gandhi Memorial Government Hospital, Trichy during the study period were considered for the study. Total of 50 patients were included in the study with 25 patients assigned to Group F and 25 patients to Group FC (described in the later part) according to the following criteria: INCLUSION CRITERIA: Patients of age between 20 to 60 years of age presenting with 1. Perforated tympanic membrane due to Chronic Otitis media, Trauma, recurrent middle ear infection. 2. Intact ossicular chain. 3. Dry ear (atleast 6 weeks). 4. Patent Eustachian tube. 5. Adequate Cochlear Reserve. EXCLUSION CRITERIA: 1. Patients with Sensory Neural Hearing Loss (SNHL) and mixed hearing loss. 2. CSOM with Attico-Antral type of disease. 3. Patients with comorbidities such as uncontrolled diabetes, immunocompromised states, etc. 4. Parent/guardian refusal. CONCLUSION: Although both temporalis fascia graft alone and cartilage supported with temporalis fascia graft are good options for closure of tympanic membrane perforation by providing good hearing improvement and graft uptake, based on the present study findings, we conclude that the cartilage with fascia graft is superior with respect to graft uptake rate and post-operative improvement in hearing when compared to temporalis fascia graft alone. ❖ This study also emphasizes on the fact that the repair of tympanic membrane should be decided on size of the perforation and type of graft material to be used. Hence the study advocates the use of cartilage graft in combination with temporalis fascia over temporalis fascia graft alone especially for large and subtotal perforations.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 220420106002 |
| Uncontrolled Keywords: | Evaluation, Temporalis Fascia Graft, Fascia with Cartilage Graft, Type 1 Tympanoplasty. |
| Subjects: | MEDICAL > Otolaryngology > MEDICAL > Otolaryngology |
| Depositing User: | Subramani R |
| Date Deposited: | 02 Oct 2021 12:49 |
| Last Modified: | 17 Dec 2023 15:29 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/18421 |
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