Wet Versus Dry Temporalis Fascia Graft in Type 1 Tympanoplasty: A Randomized Study on Controversy

Aim-To evaluate and compare the success rate of dry and wet temporalis fascia graft in tympanoplasty type I using an underlay technique and determine the effect of fibroblasts, if any on the success rate. Materials and methods-.

A 3 year prospective, randomized, comparative study between 2019 and 2021.

Mahatma Gandhi University of Medical Sciences and Technology, Jaipur.

100 adult patients of either sex were taken in this study, ranging between 15 and 60 years who fulfilled inclusion and exclusion criteria. These patients were randomly divided into 2 groups of 50 each, one in dry graft and another in wet graft group.

A comparative analysis was done on the graft placement time, fibroblast count and hearing improvement postoperatively between the two groups. Results- The dry graft and wet graft groups had overall surgical success rates of 86 and 94 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 has no influence on the outcome of tympanoplasty type I.