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Graft Success and Hearing Results between Cartilage Island Graft and Temporal Muscle Fascia Graft Myringoplasty
Ayse Secil Kayali Dinc1, Melih Cayonu1, Suleyman Boynuegri1
1Department of Otorhinolaryngology and Head Neck Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Objective:
To compare the graft success and hearing results in patients who underwent cartilage island graft (CIG) myringoplasty and temporal muscle fascia graft (TFG) myringoplasty.
Study Design:
Retrospective clinical study.
Place And Duration Of Study:
Ankara Numune Training and Research Hospital, Otolaryngology Clinic, Ankara, from January 2013 to January 2018.
Methodology:
Patients who underwent cartilage island graft myringoplasty and temporal muscle graft myringoplasty for chronic non-suppurative otitis media were inducted. Age, gender, preoperative audiologic examination results, postoperative audiologic examination, perforation site, graft material, preoperative microscopic examination and graft success were documented.
Results:
A total of 116 patients were included in the study. The mean age of the patients was 35 ±15.3 years. Fifty-four patients were females and 62 were males. Temporal muscle fascia graft was applied to 68 (58.6%) patients, while cartilage graft was applied to 48 (41.4%) patients. The success rate of graft was found to be 80.2% (55 cases with graft success) in TFG; whereas, this rate was found to be 93.8% (45 cases with graft success) in CIG group. Cartilage island graft material had a better graft success in terms of graft endurance (p = 0.048). There was no statistically significant difference between the two graft materials in terms of postoperative hearing success (p = 0.29).
Conclusion:
Cartilage island grafts can be preferable for myringoplasty operations.
