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Comparitive Study on Impact of Dry (Rigid) Versus Wet (Soft) Graft on the Outcome of Type 1 Tympanoplasty

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To analyse the rate of success of dry versus wet temporalis fascia graft in type 1 tympanoplasty. A prospective, randomised study was conducted. One hundred adult patients (males and females) with chronic suppurative otitis media (mucosal type) were divided into 2 groups of 50 each: one group underwent dry temporalis fascia graft tympanoplasty and the other underwent wet temporalis fascia graft tympanoplasty. The dry graft and wet graft groups had overall surgical success rates of 82 and 90%, respectively; this finding was not statistically significant. A dry or wet temporalis fascia graft does not influence the outcome of type I tympanoplasty.

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References

  1. Zhang ZG, Huang QH, Zheng YQ, Sun W, Chen YB, Si Y (2011) Three autologous substitutes for myringoplasty: a comparative study. Otol Neurotol 32:1234–1238

    Article  PubMed  Google Scholar 

  2. Nardone M, Sommerville R, Bowman J, Danesi G (2012) Myringoplasty in simple chronic otitis media: critical analysis of long-term results in a 1000-adult patient series. Otol Neurotol 33:48–53

    Article  PubMed  Google Scholar 

  3. Al-Khtoum N, Hiari MA (2009) Myringoplasty in children: retrospective analysis of 35 cases. Braz J Otorhinolaryngol 75:371–374

    PubMed  Google Scholar 

  4. Sarkar S, Roychoudhury A, Roychaudhuri BK (2009) Tympanoplasty in children. Eur Arch Otorhinolaryngol 266:627–633

    Article  PubMed  Google Scholar 

  5. Hermann H (1960) Tympanic membrane plastic with temporalis fascia. Hals Nas Ohrenh 9:136–139. (in German)

    Google Scholar 

  6. Rizer FM (1997) Overlay versus underlay tympanoplasty. Part I: historical review of the literature. Laryngoscope 107:1–25

    Article  CAS  PubMed  Google Scholar 

  7. Wehrs RF (1999) Grafting techniques. Otolaryngol Clin North Am 32:443–455

    Article  CAS  PubMed  Google Scholar 

  8. Abul-Hassan HS, von Drasek AG, Acland RD (1986) Surgical anatomy and blood supply of the fascial layers of the temporal region. Plast Reconstr Surg 77:17–28

    CAS  PubMed  Google Scholar 

  9. Dabholkar JP, Vora K, Sikdar A (2007) Comparative studyof underlay tympanoplasty with temporalis fascia and tragal perichondrium. Indian J Otolaryngol Head Neck Surg 59:116–119

    Article  PubMed  PubMed Central  Google Scholar 

  10. Fisch U, May J (1994) Tympanoplasty, mastoidectomy and stapes surgery. Thieme Publishers, Stuttgart

    Google Scholar 

  11. Pattersen ME, Lockwood RW, Sheehy JL (1967) Temporalis fascia in tympanic membrane grafting. Arch Otolaryngol 85:287–291

    Article  Google Scholar 

  12. Lee HY, Auo HJ, Kang JM (2010) Loop overlay tympanoplasty for anterior or subtotal perforations. Auris Nasus Larynx Nasus Larynx 37:162–166

    Article  Google Scholar 

  13. Pinar E, Sadullahoglu K, Calli C, Oncel S (2008) Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg 139:386–390

    Article  PubMed  Google Scholar 

  14. Salviz M, Bayram O, Bayram AA, Balikci HH, Chatzi T, Paltura C et al (2015) Prognostic factors in type I tympanoplasty. Auris Nasus Larynx Nasus Larynx 42:20–23

    Article  Google Scholar 

  15. Carr SD, Strachan DR, Raine CH (2015) Factors affecting myringoplasty success. J Laryngol Otol 129:23–26

    Article  CAS  PubMed  Google Scholar 

  16. Denoyelle F, Roger G, Chauvin P, Garabedian EN (1999) Myringoplasty in children: predictive factors of outcome. Laryngoscope 109:47–51

    Article  CAS  PubMed  Google Scholar 

  17. Koch WM, Friedman EM, McGill TJ, Healy GB (1990) Tympanoplasty in children. The Boston Children’s Hospital experience. Arch Otolaryngol Head Neck Surg 116:35–40

    Article  CAS  PubMed  Google Scholar 

  18. Vrabec JT, Deskin RW, Grady JJ (1999) Meta-analysis of pediatric tympanoplasty. Arch Otolaryngol Head Neck Surg 125:530–534

    Article  CAS  PubMed  Google Scholar 

  19. Manning SC, Cantekin EI, Kenna MA, Bluestone CD (1987) Prognostic value of Eustachian tube function in pediatric tympanoplasty. Laryngoscope 97:1012–1016

    Article  CAS  PubMed  Google Scholar 

  20. Uyar Y, Keles B, Koç S, Oztürk K, Arbağ H (2006) Tympanoplasty in pediatric patients. Int J Pediatr Otorhinolaryngol 70:1805–1809

    Article  PubMed  Google Scholar 

  21. Wormald PJ, Alun-Jones T (1991) Anatomy of temporalis fascia. J Laryngol Otol 105:522–524

    Article  CAS  PubMed  Google Scholar 

  22. England RJ, Strachan DR, Buckley JG (1997) Temporalis fascia grafts shrink. J Laryngol Otol 111:707–708

    Article  CAS  PubMed  Google Scholar 

  23. Indorewala S (2002) Dimensional stability of the free fascia grafts: an animal experiment. Laryngoscope 112:727–730

    Article  PubMed  Google Scholar 

  24. Chow LC, Wei WI (2004) Permeatal temporalis fascia graft harvesting for minimally invasive myringoplasty. Laryngoscope 114:386–388

    Article  PubMed  Google Scholar 

  25. Alkan S, Baylancicek S, Sozen E, Basak T, Dadas B (2009) Effect of use of dry (rigid) and wet (soft) temporal fascia graft on tympanoplasty. J Otolaryngol 38:126–132

    Google Scholar 

  26. Loock JW, Naude N (2008) A randomised controlled trial comparing fresh, dried, and dried-then-rehydrated temporalis fascia in myringoplasty. Clin Otolaryngol 33:97–101

    Article  CAS  PubMed  Google Scholar 

  27. Aslan S, Uslu S, Köybasioğlu A, Oz O, Ileri F, Ozbilen S (2008) Use of dehydrated temporal fascia in chronic otitis media surgery and tympanoplasty. Kulak Burun Bogaz Ihtis Derg 18:31–34. (in Turkish)

    PubMed  Google Scholar 

  28. Bhardwaj V, Verma R, Puri S (2013) Novel method of drying temporalis fascia graft for tympano mastoid surgery. Indian J Otol 19:66–67

    Article  Google Scholar 

  29. Reijnen CJ, Kuijpers W (1971) The healing pattern of the drum membrane. Acta Otolaryngol Suppl 287:1–74

    CAS  PubMed  Google Scholar 

  30. Salén B, Wersäll J (1968) Histologic study of experimental tympanic closure in cats. Acta Otolaryngol Suppl 244:15–32

    Article  Google Scholar 

  31. Shenoi PM (1982) Autogenous temporalis fascia grafts: detailed light and electron microscopical observations on the effects of preparations. J Laryngol Otol 96:801–810

    Article  CAS  PubMed  Google Scholar 

  32. Lou Z (2014) Natural evolution of an eardrum bridge in patients with a traumatic eardrum perforation. Eur Arch Otorhinolaryngol 271:993–996

    Article  PubMed  Google Scholar 

  33. Lou Z, Wang Y, Su K (2014) Comparison of the healing mechanisms of human dry and endogenous wet traumatic eardrum perforations. Eur Arch Otorhinolaryngol 271:2153–2157

    Article  PubMed  Google Scholar 

  34. Singh GB, Kumar D, Aggarwal K, Garg S, Arora R, Kumar S (2016) Tympanoplasty: does dry or wet temporalis fascia graft matter? J Laryngol Otol 130:700–705

    Article  CAS  PubMed  Google Scholar 

  35. Caylan R, Titiz A, Falcioni M, De Donato G, Russo A, Taibah A et al (1998) Myringoplasty in children: factors influencing surgical outcome. Otolaryngol Head Neck Surg 118:709–713

    CAS  PubMed  Google Scholar 

  36. Nagle SK, Jagade MV, Gandhi SR, Pawar PV (2009) Comparative study of outcome of type I tympanoplasty in dry and wet ear. Indian J Otolaryngol Head Neck Surg 61:138–140

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Applebaum EL, Deutsch EC (1986) Anendoscopicmethodoftympanic membrane flourescein angiography. Ann Otol Rhinol Laryngol 95:439–443

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Meghana Poornima Ramesh.

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Shrikrishna, B.H., Poornima Ramesh, M. Comparitive Study on Impact of Dry (Rigid) Versus Wet (Soft) Graft on the Outcome of Type 1 Tympanoplasty. Indian J Otolaryngol Head Neck Surg 74 (Suppl 1), 16–20 (2022). https://doi.org/10.1007/s12070-019-01785-w

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  • DOI: https://doi.org/10.1007/s12070-019-01785-w

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