KBB-Forum 2016 , Cilt 15, Sayı 2

COMPARISON OF CARTILAGE AND FASCIA GRAFT IN TYPE I TYMPANOPLASTY: OUR EARLY RESULTS

Rauf Oğuzhan KUM1, MD; Tuğçe ULUSAL1, MD; Volkan GÜNGÖR1, MD; Muzaffer Ozan ALTUNTAŞ1, MD; Yavuz Fuat YILMAZ1, MD; Müge ÖZCAN2, MD; Adnan ÜNAL1, MD
1Ankara Numune Eğitim ve Araştırma Hastanesi, KBB Kliniği, Ankara, Turkey
2Hitit Üniversitesi Tıp Fakültesi, KBB Anabilim Dalı, Çorum, Turkey Objective: This study aimed to compare the audiological and healing outcomes between the fascia and cartilage grafts in type I tympanoplasty.

Materials and Methods: This retrospective study was performed on 43 patients who had underwent type I tympanoplasty without mastoidectomy at our hospital from January 2014 to February 2016. Eighteen patients (10 male and 8 female) underwent type I tympanoplasty using cartilage graft (group 1) and 25 patients (15 male and 10 female) using fascia graft (group 2). Successful hearing is defined as average postoperative air-bone gap (ABG) closure rate to 20 dB, more than 15 dB improvement of pure tone audiometry average air conduction thresholds (PTA) or postoperative mean air conduction thresholds of 30 dB or better. The ages, sexes, success rates of graft take and hearing results were compared between the groups.

Results: In both groups, there was a statistically significant improvement in terms of mean air conduction thresholds and decrease in mean ABG postoperatively (p=0.001; p<0.001) The PTA changes in terms of success and rate of graft take showed no statistically significant difference between the groups (p>0.05).

Conclusion: Both cartilage and fascia are effective graft materials in type I tympanoplasty and they are not superior to each other. Keywords : Cartilage, Fascia, Graft, Tympanoplasty