Vol. 5, Issue 12 (2019)
Clinical assessment of endoscopic cartilage myringoplasty and endoscopic temporalis fascia myringoplasty
Author(s): Dr. Jitendra Kumar, Dr. Vineet Sinha
Abstract: Chronic Suppurative Otitis Media (CSOM) is a worldwide prevalent disease. Despite all the scientific advancement, CSOM is still considered as an important public health problem. Tympanic membrane perforation primarily results from middle ear infections, trauma and iatrogenic causes. Up to 80% of perforations heal spontaneously. The remaining required surgical repair known as Myringoplasty, an operation performed to repair or reconstruct the tympanic membrane. It was introduced by Berthold and was further developed by Wullstein and Zollner. Hence based on above findings the present study was planned Clinical Assessment of Endoscopic Cartilage Myringoplasty and Endoscopic Temporalis Fascia Myringoplasty. The present study was planned in Department of ENT, Patna Medical College and Hospital, Patna. Total 40 patients were enrolled in the present study. Out of that Group A consist of 20 patients were undergone the myringoplasty using temporalis fascia. The remaining 20 patients were compared in Group B in that palisade cartilage was used as a graft material to close the tympanic membrane retraction with perforation. The data generated from the present study concludes that comparative study of using temporalis fascia graft and palisade cartilage graft in myringoplasty surgeries for perforation of tympanic membrane, yielded a better graft take up and audiologically far better results with the palisade cartilage grafting technique.
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