Cartilage Versus Temporalis Fascia Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation '' Comparative Study ''
Study Details
Study Description
Brief Summary
Use of Cartilage Versus Temporalis Fascia as a Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The main aim of successful tympanoplasty is to create a well aerated closed cavity after total removal of the disease. Numerous types of grafting materials have been used for closure of the tympanic membrane including fascia, periosteum, perichondrium, cartilage, vein, skin, and fat tissue . Autografts are thought to be the most compatible grafting materials with the best surgical results in tympanoplasty Temporal muscle fascia is composed of irregularly arranged elastic fibers and fibrous connective tissue. For this reason postoperative dimensions of temporal muscle fascia are unpredictable.
Cartilage has a constant shape, firmer than fascia and also lack fibrous tissue, so that postoperative dimensions remains the same and beside this, it is also nourished by diffusion and show great adaptation with TM . These advantages make the cartilage graft more preferable by otologists recently.
the use of cartilage graft in many different ways such as perichondrium cartilage island technique, palisade technique or cartilage reinforcement technique
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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cartilage tympanoplasty use cartilage in tympanoplasty for recuurent perforation |
Other: tympanoplasty
use of cartilage versus tempotalis fascia in tympanoplasty for recuurent perforation
|
temporalis fascia graft in tympanoplasty use temporalis fascia as a graft in tympanoplasty for recuurent perforation |
Other: tympanoplasty
use of cartilage versus tempotalis fascia in tympanoplasty for recuurent perforation
|
Outcome Measures
Primary Outcome Measures
- Cartilage Versus Temporalis Fascia Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation '' Comparative Study '' [Baseline]
compare of improvment of hearing by using temporalis fascia versus cartilage tympanoplasty in recurrent perforation compare of graft take up by using temporalis fascia versus cartilage tympanoplasty in recurrent perforation
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients with safe chronic suppurative otitis media patient with recurrent perforation patirnt with coductive hearing loss
Exclusion Criteria:
- sensorineural hearing loss active infection compromised immune system
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Assiut University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- 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 Sep;127(9):2139-2148. doi: 10.1002/lary.26451. Epub 2016 Dec 9. Review.
- Shakya D, Nepal A. Long-term results of type I tympanoplasty with perichondrium reinforced cartilage palisade vs temporalis fascia for large perforations: A retrospective study. J Otol. 2021 Jan;16(1):12-17. doi: 10.1016/j.joto.2020.07.004. Epub 2020 Jul 29.
- recurrent tympanoplasty