AI Article Synopsis
- - The study compares the effectiveness of Cartilage and Temporalis Fascia as graft materials for Type 1 Tympanoplasty in patients with Chronic Suppurative Otitis Media (CSOM), focusing on hearing improvement and graft success rates.
- - Results showed that patients receiving Temporalis Fascia grafts had significantly better average air-bone gap closure post-surgery compared to those with Cartilage grafts, especially in varying sizes of perforations.
- - Both graft materials have their advantages: Cartilage is durable and has a high graft uptake rate, while Temporalis Fascia is more accessible and provided better functional hearing outcomes, despite lower overall morphological graft success.
Article Abstract
Chronic suppurative otitis media (CSOM) is one of the important health problems in our country. The present study was conducted to compare Cartilage and Temporalis Fascia as graft material for Type 1 Tympanoplasty for CSOM. The study was conducted to assess hearing outcome as average AB Gap closure respect to age of the patient and size of perforation, to evaluate Graft uptake with both grafting material and with respect to size of perforation and to find the complication rate. Prospective Comparative study was conducted on 60 patients of CSOM divided in two groups and randomly selected for cartilage Typanoplasty and Temporalis Fascia Tympanoplasty. Hearing result are compared pre and post operative. Group 1(cartilage): Average AB Gap closure was 55% for Small CP, 50% for Moderate CP, 40% for Large CP, 38% for Subtotal CP. In Group 2(Temoralis Fascia): Average AB Gap closure was 81% for Small CP, 72% for Moderate CP, 64% for Large CP, 52% for Subtotal CP. In Group 1, 46% and in Group 2, 69% Average closure of AB gap observed at 12 weeks post operatively. The p value for our study was found to be < 0.05, which statistically indicates better hearing outcome with TF graft. Cartilage is an excellent grafting material because of its accessibility, resistance to negative pressure and high graft uptake rate. Temporalis Fascia is easily available with similar thickness to TM. It showed inferior morphological uptake rate compared to cartilage though functional gain was better.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411351 | PMC |
| http://dx.doi.org/10.1007/s12070-020-02037-y | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Forehead Lift With Cross-Frontal Scalp Anchorage.
Aesthet Surg J
January 2025
Plastic sugeon in private practice, Istanbul, Turkey.
Background: Over the past decade, facial aesthetics has gained popularity, with a notable increase in upper-face lift procedures. Despite the popularity of brows and forehead lifts, the optimal fixation technique remains controversial. Common methods involve suturing of the temporal fascia or using monocortical miniscrews anchored to the frontal bone.
View Article and Find Full Text PDFPrimary and revision myringoplasty in children: Long-term outcome and analysis of the factors influencing the results.
J Otol
April 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Head and Neck Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Objective: Assess the long-term outcome of pediatric myringoplasty.
Methods: Tympanoplasty type I, myringoplasty, was performed on 85 children (91 consecutive operations, 74 primary and 17 revisions) under 16 years of age. The perforations were sequela either to acute or chronic inflammatory middle ear disease.
Bilateral same-day endoscopic tympanoplasty: a paradigm shift? or mere hype?
Eur Arch Otorhinolaryngol
December 2024
Department Of Otorhinolaryngology, General Hospital, Sector-6, Panchkula, 134109, India.
Objective: To ascertain the feasibility of simultaneous bilateral same-day endoscopic tympanoplasty in a secondary-level hospital in a developing country.
Material & Methods: A prospective interventional cohort study conducted at a secondary-care hospital in North India.
Inclusion Criteria: Consenting patients having bilateral perforations aged 10-50 years.
Reinforcement of the Anterior Annulus by Overlay Conchal Cartilage in Temporalis Fascia Grafting for Subtotal and Total Perforations.
Ear Nose Throat J
December 2024
ENT Department, Adana City Training and Research Hospital, Adana,Turkey.
In this study, the graft success and hearing improvement were compared in patients with subtotal or total tympanic membrane perforations following conchal cartilage-reinforced temporalis fascia graft tympanoplasty (CCRTT) versus traditional tragal island cartilage tympanoplasty (TICT). Fifty Type 1 tympanoplasties performed for subtotal or total tympanic membrane perforation were classified into 2 groups: CCRTT consisted of 23 patients and TICT consisted of 27 patients. The difference between these 2 groups was analyzed by means of graft success, reperforation, and postoperative hearing gain after 12 months.
View Article and Find Full Text PDFTemporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients.
Plast Reconstr Surg Glob Open
December 2024
Department of Psychiatry, University of California, Davis Medical Center, Sacramento, CA.
Background: This investigation assessed patient satisfaction with a temporal incision technique using a super-high superficial musculoaponeurotic system (SMAS) flap for midface lifting in a Chinese patient cohort.
Methods: From July 2019 to July 2023, 95 patients underwent midface lifts via a temporal incision approach at our institution. The extent of SMAS flap dissection spanned 2 cm above the outer canthus, to the lower margin of the zygomatic arch inferiorly, and medially to the zygomaticus major muscle.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!