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Updated: May 26, 2026
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Tympanoplasty with island cartilage or temporalis fascia: a comparative study
Kazım Bozdemir1, Ahmet Kutluhan, Gökhan Yalçıner
1ENT Department, Ankara Ataturk Training and Research Hospital, Ankara, Turkey. kazimbozdemir@gmail.com
Purpose:
To compare clinical and audiological outcomes of the type 1 tympanoplasties where conchal cartilage (island graft) and temporalis fascia were used as the graft material.
Procedures:
In this retrospective study, the results of type 1 tympanoplasty operations (n = 50) in which cartilage and temporalis fascia were used for graft material were compared.
Results:
Pre- and postoperative otoscopic findings of both groups were similar (p > 0.05). Preoperatively, the pure tone averages (PTAs) and hearing thresholds of the fascia and cartilage groups were similar (p > 0.05). However, postoperatively, the PTAs and air-bone gap closure were better with temporalis fascia compared to cartilage grafting (p < 0.05). On frequency-specific comparisons, the pure tone thresholds at the frequencies of 0.5, 1 and 2 kHz recovered better with temporalis fascia compared to cartilage (p < 0.05). Although the pure tone recovery was better at 4 kHz with temporalis fascia, the difference between the groups were not significantly different (p > 0.05).
Conclusion And Message:
In conclusion, in contrast to many reports in the literature, temporalis fascia grafting seems better in our study than grafting with conchal cartilage.
