Optimizing Outcome of Graft Efficacy in Endoscopic Type-1Tympanoplasty: Temporalis Fascia Versus Tragal Cartilage

Abstract

Introduction: Tympanoplasty is a surgical procedure to renovate the mucosal variety of central perforation. Various graft materials are used for this. Among them, temporalis fascia and sliced tragal cartilage are equally popular with the surgeon.

Method: It was an impartial survey of the ENT inpatient departments of two specialized hospitals in Cumilla, Bangladesh. 200 patients were included in this study, of whom 150 underwent surgery using the temporalis fascia and 50 underwent surgery using the tragal cartilage.

Result: Males, rural, and poor populations suffer more from otitis media. Medium-sized perforation was the highest presentation. The result of the paired-sample t-test of Ab gap after tympanoplasty and refinement of Ab gap exhibited notable differences in both groups, with t=3.544, P<.001 in the temporalis fascia group, and t=-3.021, P=.004 in the tragal cartilage group. The paired-sample t-test of Ab gap before and after tympanoplasty was significant in both groups, with P<.001. The success rate was 84.7% in the fascia group and 80% in the cartilage group.

Conclusion: The temporalis graft success rate superseded that of tragal cartilage. Availability of cartilage slicer increased the surgeon’s use of tragal cartilage.