Comparison of outcomes of palisade cartilage with temporalis fascia following tympanoplasty at a tertiary care centre in Nepal

Rahul K. Jaiswal, Shyam Thapa Chettri, Shankar P. Shah, Smriti Karki, Bajarang P. Sah, Deepak Paudel
2016 International Journal of Otorhinolaryngology and Head and Neck Surgery  
<p class="abstract"><strong>Background:</strong> Mucosal type of chronic otitis media is a common disease worldwide with 5.2% prevalence in Nepal. Cartilage material is criticized in terms of hearing results due to its thickness. The objective of this study was to compare graft uptake and post-operative hearing of palisade cartilage with temporalis fascia following tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> A prospective randomized study conducted over 12 months included
more » ... months included subjects of chronic otitis media mucosal inactive having dry ear for at least 4 weeks. 76 subjects were enrolled and reviewed on 6<sup>th</sup> post-operative day, 6<sup>th</sup> and 12<sup>th</sup> post-operative week. The graft uptake and post-operative hearing were evaluated. The results were compared within and between the groups. </p><p class="abstract"><strong>Results:</strong> The graft uptake on 42<sup>nd</sup> and 90<sup>th </sup>post-operative days were comparable with no statistical difference. The difference of mean pre-operative, 42<sup>nd </sup>and 90<sup>th</sup> post-operative air bone gaps in palisade cartilage and temporalis fascia were also comparable. The results were statistically significant, showing improvement in hearing after surgery. Closure of air-bone gap within 30 dB was achieved in 71.87% in temporalis fascia and 88.89% in palisade cartilage. The intergroup difference was not statistically significant.</p><p><strong>Conclusions:</strong> The graft uptake rates and hearing results after palisade cartilage are similar to temporalis fascia.</p>
doi:10.18203/issn.2454-5929.ijohns20163470 fatcat:ksiiqnkfqrfotcytllubopj2i4