Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF
  • Original article
  • Open access
  • Published:

Evaluation of hearing outcome of tympanoplasty using cartilage graft versus temporalis fascia graft

The Egyptian Journal of Otolaryngology volume 35, pages 1–5 (2019)Cite this article

Abstract

Background

Various materials such as fascia, perichondrium, and cartilage have been used for the reconstruction of the tympanic membrane in middle ear surgery. Owing to its stiffness, cartilage is resistant to resorption and retraction.

Patients and Methods

This study comprised a randomized, controlled trial conducted to analyze the audiological gain when using cartilage grafts in type 1 tympanoplasty compared with temporalis fascia grafts on 60 patients suffering from chronic otitis media after successful tympanoplasty. The follow-up period was at least 6 months. All patients were subjected to audiological evaluation before and at least 6 months postoperatively.

Results

There was a significant reduction in mean air-bone gap (ABG) in both groups, whereas in group A (fascial graft) the mean preoperative ABG was 25±10.2 dB and the mean postoperative ABG was 13.5±7.3 dB, whereas in group B (cartilage graft) the mean preoperative ABG was 30.6±8.6 dB and the mean postoperative ABG was 15.9±8.7 dB, analyzing the effectiveness of both surgical techniques showed that both were equally effective in reducing ABG from preintervention to postintervention with no statistical significance among both groups (P=0.212).

Conclusion

Patients who had cartilage grafts showed similar hearing outcomes to those who had fascial grafts after a successful tympanoplasty procedure.

References

  1. Lim DJ. Recent advances in otitis media. Report of the Eighth Research Conference. Ann Otol Rhinol Laryngol 2005; 114:1.

    Google Scholar 

  2. Acuin J. Chronic suppurative otitis media. Clin Evid 2004; 12:710.

    Google Scholar 

  3. Yates PD. Otitis media. In: Lalwani AK, editor. Current diagnosis and treatment in otolaryngology – head and neck surgery. 1st ed. McGraw Hill Companies; 2005. pp. 655–665.

  4. Acuin J, Smith A, MacKenzie I. Interventions for chronic suppurative otitis media (Cochrane Review). Cochrane Database Syst Rev 2001; 2: CD000473.

    Google Scholar 

  5. Bluestone CD. Studies in otitis media: Children’s Hospital of Pittsburgh-University of Pittsburgh progress report. Laryngoscope 2004; 114:1–26.

    Article  Google Scholar 

  6. Demirci S, Tuzuner A, Karadas H, Acıkgoz C, Caylan R, Samim E. Comparison of temporal muscle fascia and cartilage grafts in pediatric tympanoplasties. Am J Otolaryngol 2014; 35:796–799.

    Article  Google Scholar 

  7. Kalcioglu M, Tan M, Croo A. Comparison between cartilage and fascia grafts in type 1 tympanoplasty. B-ENT 2013; 9:235–239.

    CAS  PubMed  Google Scholar 

  8. Yegin Y, Çelik M, Koç AK, Küfeciler L, Elbistanlı M, Kayhan F. Comparison of temporalis fascia muscle and full-thickness cartilage grafts in type 1 pediatric tympanoplasties. Braz J Otorhinolaryngol 2016; 82:695–701.

    Article  Google Scholar 

  9. Kim JY, Oh JH, Lee HH. Fascia versus cartilage graft in type I tympanoplasty: audiological outcome. J Craniofac Surg 2012;23: e605–e608.

    Article  Google Scholar 

  10. Tek A, Karaman M, Uslu C, Habeşoğlu T, Kılıçarslan Y, Durmuş R, et al. Audiological and graft take results of cartilage reinforcement tympanoplasty (a new technique) versus fascia. Eur Arch Otorhinolaryngol 2012; 269:1117–1126.

    Article  Google Scholar 

  11. Callioglu EE, Ceylan BT, Kuran G, Demirci S, Tulaci KG, Caylan R. Cartilage graft or fascia in tympanoplasty in patients with low middle ear risk index (anatomical and audological results). Eur Arch Otorhinolaryngol 2013; 270:2833–2837.

    Article  Google Scholar 

  12. Jalali MM, Motasaddi M, Kouhi A, Dabiri S, Soleimani R. Comparison of cartilage with temporalis fascia tympanoplasty: a meta-analysis of comparative studies. Laryngoscope 2017; 127:2139–2148.

    Article  Google Scholar 

  13. Yang T, Wu X, Peng X, Zhang Y, Xie S, Sun H. Comparison of graft and fascia in type 1 tympanoplasty: systematic review and meta-analysis. Acta Otolaryngol 2016; 136:1085–1090.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, H&N Surgery, Faculty of Medicine (School of Medicine), Helwan University, Helwan, Egypt

    Mohamed M. El-Sheikh MD

Authors
  1. Mohamed M. El-Sheikh MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mohamed M. El-Sheikh MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

El-Sheikh, M.M. Evaluation of hearing outcome of tympanoplasty using cartilage graft versus temporalis fascia graft. Egypt J Otolaryngol 35, 1–5 (2019). https://doi.org/10.4103/ejo.ejo_13_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ejo.ejo_13_18

Keywords