Comparison of graft success rate between cartilage and fascia in endoscopic tympanoplasty: Our long-term results

Authors : Kemal Keseroğlu, Gökhan Toptaş, Ömer Bayir, Sibel Alicura Tokgöz, Bülent Öcal, Cem Saka, Istemihan Akin, Ali Özdek

Pages : 94-99

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Publication Date : 2019-06-03

Article Type : Research

Abstract :Objectives: This study aims to present our long-term results of endoscopic tympanoplasty and to compare the perforation closure rates of cartilage grafts versus fascia grafts. Patients and Methods: A total of 112 ears of 103 patients 35 males, 68 females; mean age 33.6 years; range, 9 to 78 years who underwent endoscopic tympanoplasty due to chronic otitis media between October 2011 and July 2014 were included in this retrospective study. The operations were divided into two groups according to the graft material type as the fascia group n=43 and cartilage group n=69 . Demographic data of the patients and perforation closure rates according to the graft material type used were recorded. Results: The mean follow-up was 51.4 months. The graft intake rate of the cartilage and fascia groups were 89.8% and 90.7%, respectively p=1.000 . The overall perforation closure rate was found to be 90.2%. Conclusion: Endoscopic tympanoplasty is an effective and less invasive new surgical access technique in otology in which satisfactory results for graft intake rates can be achieved even in the beginning stage. The cartilage graft use in endoscopic tympanoplasty also yields similar and comparable anatomic success results with the fascia graft.
Keywords : Cartilage, chronic otitis media, endoscopic tympanoplasty, fascia, graft success