E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat [Tr-ENT]
Tr-ENT. 2018; 28(1): 15-20 | DOI: 10.5606/Tr-ENT.2018.75032

Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial

Ruhi Aydın1, Mehmet Emrah Ceylan2, Abdullah Dalğıç1, Ufuk Düzenli1, Çağrı Çelik1, Levent Olgun1
1Department of Otolaryngology, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey
2Department of Otolaryngology, Private Davraz Yaşam Hospital, Isparta, Turkey

INTRODUCTION: In this study we compared patient outcomes after placement of perichondrium and cartilage-perichondrium grafts and explored the advantages and disadvantages of the two graft materials in terms of graft viability and hearing improvement.
METHODS: Sixty patients with chronic otitis media undergoing type 1 tympanoplasty using the underlay technique were randomly divided into two groups, a perichondrium graft (PER) group (n=30) and a cartilage graft (CG) group (n=30). We obtained audiograms; measured pre- and postoperative airway thresholds, air-bone gap gains and anatomical graft success rates, and recorded Middle Ear Risk Index (MERI) scores.
RESULTS: The success rates did not differ significantly between the two groups (PER group [90%, n=27]; CG group [96.7%, n=29]; p>0.05). We found no significant between-group differences in postoperative bone and airway changes, hearing gains, or mean MERI values (all p>0.05).
DISCUSSION AND CONCLUSION: The success rates of tympanoplasty does not differ between grafts containing perichondrium or island cartilage. Thus, island cartilage grafts should be placed not only in cases at risk but also in those undergoing standard tympanoplasty.

Keywords: Cartilage, hearing, tympanoplasty.

Ruhi Aydın, Mehmet Emrah Ceylan, Abdullah Dalğıç, Ufuk Düzenli, Çağrı Çelik, Levent Olgun. Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial. Tr-ENT. 2018; 28(1): 15-20

Sorumlu Yazar: Mehmet Emrah Ceylan, Türkiye
LookUs & Online Makale