COMPARATIVE EFFICACY OF SLICED TRAGAL CARTILAGE VERSUS TEMPORALIS FASCIA IN TYMPANOPLASTY: A STUDY ON HEARING IMPROVEMENT AND GRAFT UPTAKE

HEMENDRA SINGH SHEKHAWAT; ARUN KUMAR PATEL; KULDEEP SINGH LODHA; NITIN KUMAR ARORA

doi:10.22159/ijcpr.2024v16i6.6008

Authors

HEMENDRA SINGH SHEKHAWAT Department of Otorhinolaryngology, Jhalawar Medical College, Jhalawar, Rajasthan, India
ARUN KUMAR PATEL Department of Otorhinolaryngology, Jhalawar Medical College, Jhalawar, Rajasthan, India
KULDEEP SINGH LODHA Department of Otorhinolaryngology, Jhalawar Medical College, Jhalawar, Rajasthan, India
NITIN KUMAR ARORA Department of Otorhinolaryngology, Jhalawar Medical College, Jhalawar, Rajasthan, India

DOI:

https://doi.org/10.22159/ijcpr.2024v16i6.6008

Keywords:

Tympanoplasty, Tragal cartilage, Temporalis fascia, Chronic suppurative otitis media, Hearing improvement, Graft uptake

Abstract

Objective: Chronic suppurative otitis media (CSOM) often necessitates surgical intervention, with tympanoplasty being a key procedure to restore hearing. The choice of graft material-sliced tragal cartilage versus temporalis fascia remains controversial due to potential differences in acoustic transmission and graft resilience.

Methods: This prospective cohort study included 48 patients with CSOM, randomly assigned to receive either tragal cartilage or temporalis fascia grafts. Outcomes measured were hearing improvement and graft uptake, assessed through audiometric testing and otoscopic evaluations.

Results: Both groups showed significant improvements in hearing postoperatively, with no statistically significant difference in hearing gain (P=0.3064). Graft uptake rates were comparable, with a non-significant lower reperforation rate in the cartilage group (P=0.551).

Conclusion: The study supports the use of either sliced tragal cartilage or temporalis fascia as effective materials for tympanoplasty, offering substantial hearing improvement and reliable graft uptake.

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