TYMPANOPLASTY USING PEDICLE TEMPORALIS FASCIA GRAFT- A NOVEL MODIFICATION OF UNDERLAY TECHNIQUE.

Corresponding Author:
Dr. Nalakath Kunjhimon Bashir,
Professor of ENT,
MES Medical College, Palachode,
Perinthalmanna-679338, Kerala.
E-mail: bashirnk@gmail.com

ABSTRACT

BACKGROUND

Temporalis fascia is the most commonly used graft material for tympanoplasty with closure of the perforation of 70% to 90% of cases. We propose a novel modification of inlay surgical technique, pedicle temporalis fascia graft, to improve the graft take-up rate without compromising the hearing results

Aim- The purpose of this study is to assess the take-up rate and hearing results of type 1 tympanoplasty using pedicle temporalis fascia graft.

MATERIALS AND METHODS

This is a retrospective study conducted from 01/06/2013 to 30/09/2015. 43 patients with safe central perforations, who underwent type 1 underlay tympanoplasty using a pedicle temporalis fascia graft were studied. The outcome measurements were graft take-up rate and audiometric results.

RESULTS

Graft take-up rate in this study was 97.4% and hearing improvement was about 90%. Graft take-up rate is comparable with the best results achieved by any other technique and hearing improvement is at par with most of the studies.

CONCLUSION

Our modification of type 1 tympanoplasty using a pedicle temporalis fascia graft gives excellent graft take-up rate. This technique needs refinement, and we strongly recommend trying this in difficult cases and in revision tympanoplasties.

keywords

Tympanoplasty, medial graft, lateral graft, pedicle graft.