Management of large tympanic membrane perforations – A comparative study
Background: This study aimed to compare the results of tympanoplasty with temporalis fascia graft alone and with composite graft in cases of inactive mucosal-type chronic suppurative otitis media with subtotal and total perforations in graft uptake and hearing improvement. Methods: It is a prospecti...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Journal of Clinical and Scientific Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcsr.jcsr_83_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849709371506819072 |
|---|---|
| author | Saaketh Boddupalli Sreenivas Gouripeddi |
| author_facet | Saaketh Boddupalli Sreenivas Gouripeddi |
| author_sort | Saaketh Boddupalli |
| collection | DOAJ |
| description | Background:
This study aimed to compare the results of tympanoplasty with temporalis fascia graft alone and with composite graft in cases of inactive mucosal-type chronic suppurative otitis media with subtotal and total perforations in graft uptake and hearing improvement.
Methods:
It is a prospective case–control study done in in our teaching hospital at Tirupati, in the Department of Ear, Nose and Throat. This study includes 30 patients who are divided into two groups by simple randomisation.
Results:
In the present study, the graft uptake rate when using only the temporalis fascia was 80% and that in the cartilage and temporalis fascia was 93.34%. Significant hearing improvement (>10 dB) was observed in 75% of patients in the temporalis fascia graft alone group and 71.4% in the composite graft group. There was a mean improvement in air conduction from pre-operative to post-operative in the tympanoplasty with temporalis fascia of 14.4 dB and in the tympanoplasty with composite graft group of 15.06 dB.
Conclusions:
In the case of large tympanic membrane perforations, the composite graft using the temporalis fascia graft along with conchal/tragal cartilage is superior to the temporalis fascia graft alone, with better graft uptake. However, hearing improvement was better in the group in which only the temporalis fascia graft was used. |
| format | Article |
| id | doaj-art-9d68248dff994db2acc5d8b256ccdbe7 |
| institution | DOAJ |
| issn | 2277-5706 2277-8357 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Scientific Research |
| spelling | doaj-art-9d68248dff994db2acc5d8b256ccdbe72025-08-20T03:15:19ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572025-01-011412710.4103/jcsr.jcsr_83_24Management of large tympanic membrane perforations – A comparative studySaaketh BoddupalliSreenivas GouripeddiBackground: This study aimed to compare the results of tympanoplasty with temporalis fascia graft alone and with composite graft in cases of inactive mucosal-type chronic suppurative otitis media with subtotal and total perforations in graft uptake and hearing improvement. Methods: It is a prospective case–control study done in in our teaching hospital at Tirupati, in the Department of Ear, Nose and Throat. This study includes 30 patients who are divided into two groups by simple randomisation. Results: In the present study, the graft uptake rate when using only the temporalis fascia was 80% and that in the cartilage and temporalis fascia was 93.34%. Significant hearing improvement (>10 dB) was observed in 75% of patients in the temporalis fascia graft alone group and 71.4% in the composite graft group. There was a mean improvement in air conduction from pre-operative to post-operative in the tympanoplasty with temporalis fascia of 14.4 dB and in the tympanoplasty with composite graft group of 15.06 dB. Conclusions: In the case of large tympanic membrane perforations, the composite graft using the temporalis fascia graft along with conchal/tragal cartilage is superior to the temporalis fascia graft alone, with better graft uptake. However, hearing improvement was better in the group in which only the temporalis fascia graft was used.https://journals.lww.com/10.4103/jcsr.jcsr_83_24chronic suppurative otitis mediacomposite graftmedialisationtemporalis fascia grafttympanoplasty |
| spellingShingle | Saaketh Boddupalli Sreenivas Gouripeddi Management of large tympanic membrane perforations – A comparative study Journal of Clinical and Scientific Research chronic suppurative otitis media composite graft medialisation temporalis fascia graft tympanoplasty |
| title | Management of large tympanic membrane perforations – A comparative study |
| title_full | Management of large tympanic membrane perforations – A comparative study |
| title_fullStr | Management of large tympanic membrane perforations – A comparative study |
| title_full_unstemmed | Management of large tympanic membrane perforations – A comparative study |
| title_short | Management of large tympanic membrane perforations – A comparative study |
| title_sort | management of large tympanic membrane perforations a comparative study |
| topic | chronic suppurative otitis media composite graft medialisation temporalis fascia graft tympanoplasty |
| url | https://journals.lww.com/10.4103/jcsr.jcsr_83_24 |
| work_keys_str_mv | AT saakethboddupalli managementoflargetympanicmembraneperforationsacomparativestudy AT sreenivasgouripeddi managementoflargetympanicmembraneperforationsacomparativestudy |