Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media.

Abstract

OBJECTIVES:

To compare the functional results of type I tympanoplasty performed with either temporalis fascia or a perichondrium and cartilage island flap, in patients with bilateral chronic otitis media.

METHOD:

The study included primary tympanoplasty cases with a subtotal perforation, an intact ossicular chain, a dry ear for at least one month and normal middle-ear mucosa, together with contralateral tympanic membrane perforation. Temporalis fascia tympanoplasty was undertaken in 41 patients, and cartilage tympanoplasty in 39 patients.

RESULTS:

The graft success rate was 65.9 per cent for the fascia group and 92.3 per cent for the cartilage group. Post-operatively, the mean ± standard deviation air conduction threshold was 28.54 ± 14.20 dB for the fascia group and 22.97 ± 8.37 dB for the cartilage group, while the mean ± standard deviation bone conduction threshold was 11.71 ± 8.50 dB for the fascia group and 7.15 ± 5.56 dB for the cartilage group.

CONCLUSION:

In patients with bilateral chronic otitis media, cartilage tympanoplasty seems to provide better hearing results and graft success rates.

• Authors: K Onal, S Arslanoglu, M Songu, U Demiray, I A Demirpehlivan
• Journal: The Journal of laryngology and otology (J Laryngol Otol) Vol. 126 Issue 1 Pg. 22-5 (Jan 2012) ISSN: 1748-5460 [Electronic] England
• PMID: 22032518 (Publication Type: Clinical Trial, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Bone Conduction (physiology)
• Cartilage (transplantation)
• Chronic Disease
• Fascia (transplantation)
• Female
• Graft Survival
• Humans
• Male
• Middle Aged
• Otitis Media (physiopathology, surgery)
• Prognosis
• Surgical Flaps
• Treatment Outcome
• Tympanic Membrane (surgery)
• Tympanic Membrane Perforation (surgery)
• Tympanoplasty (methods)
• Young Adult