Abstract

The objective of this study was to evaluate the effectiveness and outcomes of cartilage-perichondrium composite graft tympanoplasty in the management of tympanic membrane perforations. The success rates of tympanic membrane closure, postoperative hearing outcomes, complications were assessed. Materials and Methods This retrospective descriptive study constituted a study population of 110 patients with clinical evidence of chronic suppurative otitis media (CSOM) who were operated with cartilage perichondrium composite graft tympanoplasty. The study duration was from July 2011 to September 2014. Result Overall graft take 99.09% and in type I tympanoplasty 86.11% of cases got air bone closure up to 20 dB. In type II and type III 72.22% and 70.58% of cases achieve air bone closure (AB closure) up to 20 dB. 97.26% of patients of different types of tympanoplasty achieved hearing level of 30 dB or less i.e. socially acceptable hearing. Conclusion Cartilage-perichondrium composite graft tympanoplasty is an effective and reliable surgical approach for repairing tympanic membrane perforations. The technique provides excellent closure rates of 99.09% and improves hearing outcomes in 97.26%, contributing to improved patient quality of life.

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