Comparative Study of Tympanoplasty Using Temporalis Fascia and Cartilage at Al Hada Hospital, Taif, Saudi Arabia

Sara Hamed Abudarak, Sultanah Naser Alshreef, Sulaiman Awadh Althobaiti, Ayeshah Beeshi Alqarni
2019 Global Drugs and Therapeutics  
Tympanoplasty is the procedure of choice for surgical correction of tympanic membrane perforation triggered by either chronic suppurative otitis media or trauma. Various types of autologous grafts have been used. We evaluated refractive disorders in Albino children of Brazzaville and assessed their impact on the visual acuity of these children. Aim: Was to evaluate different prognostic factors affecting Tympanoplasty as well as comparing Temporalis Fascia versus cartilage graft tissues used in
more » ... ft tissues used in Tympanoplasty and their impact on patient hearing improvement at Al Hada Hospital through objective assessment of hearing by audiogram and closure of air bone gap. Methods: This is a retrospective cohort study conducted during a period of 6 month enrolling 80 patients admitted to at Al Hada Hospital. Data was collected from operation room's logbook. Data sheet contained age, gender, size and site of perforation, graft type, duration, approach, technique of graft replacement, preoperative and postoperative audiogram. Preoperative and postoperative audiometric assessments were conducted using average pre-and post-operative pure tone audiometry (PTA) as well as average air-bone gap (ABG). Results : Showed a preoperative PTA of 37.99 for cartilage graft vs. 36.04 for TF, a Preoperative ABG of 38.62 for cartilage graft vs 32.56 for TF. While, Postoperative PTA was 40 for cartilage graft vs 32.84 for TF and postoperative ABG was 40.82 for cartilage graft vs 28.18 for TF. Conclusion: No significant difference was evident in the results of Tympanoplasty, neither in the health of the tympanic membrane after surgery nor in hearing development influenced by age, gender, size and site of perforation. Both temporalis fascia and tragal cartilage-perichondrium are suitable graft materials for Tympanoplasty. However, temporalis fascia was superior to cartilage graft in hearing improvement. Although the results were not statistically significant. Nevertheless, large prospective trials are necessary to collect high-quality data. Methods This is a retrospective cohort study conducted during a period of 6 month enrolling 80 patients at Al Hada Hospital. Data was collected from operation room's logbook. • Data sheets contained Study group characteristics such as age, gender, size and side of perforation, graft type, Tympanoplasty Approach and technique of graft replacement and preoperative and postoperative audiogram. • Pre-and post-operative Pure-tone audiometry (PTA) was used as a behavioural test to measure hearing sensitivity.
doi:10.15761/gdt.1000167 fatcat:i7ufqrms6banrmg2if2o4vvo3e