Long-term results of type I tympanoplasty with perichondrium reinforced cartilage palisade vs temporalis fascia for large perforations:A retrospective study  

作　　者：Dipesh Shakya Ajit Nepal 

机构地区：[1]Department of Otorhinolaryngology,Civil Service Hospital,Minbhawan,Kathmandu,Nepal [2]Department of Otorhinolaryngology,Patan Academy of Health Sciences,School of Medicine,Lagankhel,Lalitpur,Nepal

出　　处：《Journal of Otology》2021年第1期12-17,共6页中华耳科学杂志（英文版）

摘　　要：Objective:To compare the rate of graft uptake and postoperative hearing outcomes of Type I tympanoplasty with perichondrium reinforced cartilage palisade to temporalis fascia for large tympanic membrane(TM)perforations over 5 years follow-up period.Materials and methods:This was a retrospective comparative study involving patients with chronic otitis media with large TM perforations.The patients underwent type I tympanoplasty using either perichondrium reinforced cartilage palisade(CP group)or temporalis fascia(TF group)as the graft via a transmeatal approach and under local anesthesia.Morphological and functional results were recorded at three-and five years follow-up.Demographic profiles including age and sex,surgery side,contralateral disease and graft uptake rate,as well as hearing outcomes,were compared between the two groups.Results:At three years follow-up,graft uptake was 94.87%for perichondrium reinforced cartilage palisade and 80.7%for fascia,respectively,(p¼0.67).At five years follow-up,the uptake rate dropped to 87.17%in the CP group,but to 66.6%in the TF group(p¼0.019).Hearing improved after surgery in both groups,and showed no significant difference between the two groups.Conclusion:Over long-term,perichondrium reinforced palisade showed a statistically significant better outcome regarding graft uptake than temporalis fascia in type Itympanoplasty for large TM perforations with comparable audiometric results.

关 键 词：TYMPANOPLASTY Large perforation Temporalis fascia Cartilage palisade PERICHONDRIUM 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]