Abstract

Chronic suppurative otitis media is highly prevalent middle ear disease. Different graft materials have been used for repair of tympanic membrane perforation by different surgeons in their own choice with variable outcomes. To the best of our knowledge there is no protocol-based study conducted in our country regarding reinforcement cartilage tympanoplasty. This study had compared the hearing outcome o temporalis fascia versus Tragal cartilage graft in Type 1 Tympanoplasty. Material and Method: The present study was conducted among 50 patients of chronic suppurative otitis media (CSOM), admitted for tympanoplasty and were randomized into 2 groups of 25 patients in each group, group A and group B, to be reconstructed using temporalis fascia or tragal cartilage- perichondrium graft respectively. Objective hearing improvement and subjective improvement in hearing was also noted. The statistical analysis was done using SPSS (Statistical Package for Social Sciences) Version 21.0 statistical analysis and p value <0.05 is considered as significant. Results: The majority of the studied cases were males (i.e., 52.0% in group fascia and 56.0% in cartilage group). The Anthropometric data was also comparable between the groups (p>0.05). We recorded post-operative graft status and it was found that intact was achieved in 88.0% cases of fascia group and in 96.0% cases of Cartilage group but the difference was statistically insignificant (p>0.05). In fascia group, majority 15 (60.0%) patients were having perforation size >3 mm and 10 (40.0%) patients were ≤3 mm perforation size. In Cartilage Group B, majority 13 (52.0%) patients were >3 mm perforation size and 12 (43.0%) patients were <3 mm perforation size. Correlation of both groups was found to be statistically non-significant (p>0.05). Conclusion: The present study revealed that as per the post-operative graft status, it was found that intact was achieved in 88.0% cases of fascia group and in 96.0% cases of Cartilage group but the difference was statistically insignificant (p>0.05). Thus, to conclude, both temporalis fascia and tragal cartilage with perichondrium are acceptable graft materials for successful closure of tympanic membrane perforations. The overall graft uptake and hearing improvement were be better with cartilage, than temporalis fascia. However, none of the results were statistically significant.

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