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Tympanoplasty: does dry or wet temporalis fascia graft matter?
G B Singh1, D Kumar2, K Aggarwal3
1Department of Otorhinolaryngology - Head and Neck Surgery,Lady Hardinge Medical College and Associated Hospitals,New Delhi,India.
Objectives:
To evaluate the success rate of dry and wet temporalis fascia grafts in type I underlay tympanoplasty.
Methods:
A prospective, randomised study was conducted. One hundred adult patients (males and females) with chronic suppurative otitis media (mucosal type) were divided into 2 groups of 50 each: one group underwent dry graft tympanoplasty and the other underwent wet graft tympanoplasty. Fibroblast count was calculated in dry and wet grafts.
Results:
The dry graft and wet graft groups had overall surgical success rates of 82 and 90 per cent, respectively; this finding was not statistically significant. A statistically significant high fibroblast count was observed in wet grafts, but it did not correlate with surgical success.
Conclusion:
A dry or wet temporalis fascia graft does not influence the outcome of tympanoplasty type I.
