E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat [Tr-ENT]
Tr-ENT. 2019; 29(2): 94-99 | DOI: 10.5606/Tr-ENT.2019.70883

Comparison of graft success rate between cartilage and fascia in endoscopic tympanoplasty: Our long-term results

Kemal Keseroğlu1, Gökhan Toptaş1, Ömer Bayır1, Sibel Alicura Tokgöz1, Bülent Öcal1, Cem Saka1, İstemihan Akın1, Ali Özdek2
1Department of Otorhinolaryngology Head and Neck Surgery, Ministry of Health, University of Medical Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
2Private Doctor’s Office, Ankara, Turkey

INTRODUCTION: This study aims to present our long-term results of endoscopic tympanoplasty and to compare the perforation closure rates of cartilage grafts versus fascia grafts.
METHODS: A total of 112 ears of 103 patients (35 males, 68 females; mean age 33.6 years; range, 9 to 78 years) who underwent endoscopic tympanoplasty due to chronic otitis media between October 2011 and July 2014 were included in this retrospective study. The operations were divided into two groups according to the graft material type as the fascia group (n=43) and cartilage group (n=69). Demographic data of the patients and perforation closure rates according to the graft material type used were recorded.
RESULTS: The mean follow-up was 51.4 months. The graft intake rate of the cartilage and fascia groups were 89.8% and 90.7%, respectively (p=1.000). The overall perforation closure rate was found to be 90.2%.
DISCUSSION AND CONCLUSION: Endoscopic tympanoplasty is an effective and less invasive new surgical access technique in otology in which satisfactory results for graft intake rates can be achieved even in the beginning stage. The cartilage graft use in endoscopic tympanoplasty also yields similar and comparable anatomic success results with the fascia graft.

Keywords: Cartilage, chronic otitis media, endoscopic tympanoplasty, fascia, graft success.

Kemal Keseroğlu, Gökhan Toptaş, Ömer Bayır, Sibel Alicura Tokgöz, Bülent Öcal, Cem Saka, İstemihan Akın, Ali Özdek. Comparison of graft success rate between cartilage and fascia in endoscopic tympanoplasty: Our long-term results. Tr-ENT. 2019; 29(2): 94-99

Sorumlu Yazar: Gökhan Toptaş, Türkiye
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