Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted?


Dundar R., Kulduk E., Soy F. K., ASLAN M., Yükkaldiran A., Çiftçi M. A.

Indian Journal of Otolaryngology and Head Neck Surgery, cilt.68, sa.3, ss.339-344, 2016 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 68 Sayı: 3
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1007/s12070-015-0825-8
  • Dergi Adı: Indian Journal of Otolaryngology and Head Neck Surgery
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.339-344
  • Anahtar Kelimeler: Tympanoplasty, Boomerang-shaped chondroperichondrial graft, Perforation, CARTILAGE TYMPANOPLASTY
  • İnönü Üniversitesi Adresli: Hayır

Özet

The aim of this study was to compare anatomical and audiological results of boomerang-shaped chondroperichondrial graft (BSCPG) with temporal muscle fascia in type 1 tympanoplasties. Sixty-eight patients in BSCPG group and 54 patients in fascia group were evaluated. Otomicroscopic examination was done periodically till 24 months as for graft perforation, lateralization and retraction and mean air conduction threshold and airbone gap values were measured. At long term controls, in BSCPG group, rates of neomembrane, perforation, retraction and lateralization were 91.17 % (n = 62), 8.82 % (n = 6), 4.41 % (n = 3) and 0 % (n = 0), respectively. In fascia group, the corresponding rates were 79.62 % (n = 43), 20.37 % (n = 11), 12.96 % (n = 7) and 3.7 % (n = 2), respectively. In both groups, mean postoperative PTA and ABG values were significantly better while postoperative same values were significantly different between groups (p = 0.044 and 0.032, respectively). Compared to fascia, BSCPG is an ideal grafting technique in the repair of tympanic membrane perforations.