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

Published online by Cambridge University Press:  28 October 2011

K Onal ,
S Arslanoglu ,
M Songu ,
U Demiray  and
I A Demirpehlivan
K Onal
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
S Arslanoglu
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
M Songu*
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
U Demiray
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
I A Demirpehlivan
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
*
Address for correspondence: Dr Murat Songu, Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey Fax: 00902322431530 E-mail: songumurat@yahoo.com
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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.

Keywords

TympanoplastyGraftsCartilageFasciaChronic Otitis Media
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 1 , January 2012 , pp. 22 - 25
Copyright
Copyright © JLO (1984) Limited 2011

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