title: Cartilage graft or fascia in tympanoplasty in patients with low middle ear risk index (anatomical and audological results).
abstract: The aim of this study was to compare anatomic and audiological results of cartilage graft with temporal fascia graft in type 1 tympanoplasty patients with low middle ear risk index (MERI). In this retrospective study, 63 patients that underwent type 1 tympanoplasty with chondroperichondrial island graft between July 2009 and November 2010 were compared with 45 patients in whom temporal muscle fascia was used. Patients in both groups had low MERI values varying between 1 and 3. Five and nine patients underwent masteidectomy in cartilage and fascia group, respectively. Mean duration of follow-up was 11.9 ± 3.7 (5-17) months. Mean value was calculated at pre-operative and post-operative hearing threshold 0.5, 1, 2, 4 kHz, and air bone gap (ABG) gain was compared in both cartilage and fascia groups. when pre-operative and post-operative ABG gain were compared, significant decrease was seen in ABG levels (p < 0.001). However, no significant difference was seen in ABG gain values (p = 0.608), which was 10.1 ± 7.00 dB in cartilage group and 10.8 ± 5.38 dB in fascia group. In both groups, age, sex, and the addition of mastoidectomy procedure had no significant effect on ABG gain and success. Cartilage is a graft material that may be preferred without concern about the effects on hearing results, especially, in patients with low MERI values. The addition of mastoidectomy had no impact on the outcome of operation and audiological results. However, further studies with larger case series may be carried out to further clarify the issue.
authors.affiliation: Department of Otolaryngology, Etlik Ihtisas Training and Research Hospital, Ankara, Turkey, elifersoy78@hotmail.com.
authors.forename: Elif Ersoy
authors.initials: EE
authors.lastname: Callioglu
authors.forename: B Tijen
authors.initials: BT
authors.lastname: Ceylan
authors.forename: Gokhan
authors.initials: G
authors.lastname: Kuran
authors.forename: Sule
authors.initials: S
authors.lastname: Demirci
authors.forename: Kamil Gokce
authors.initials: KG
authors.lastname: Tulaci
authors.forename: Refik
authors.initials: R
authors.lastname: Caylan
mesh_terms: D000328:Adult; D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold; D002356:Cartilage / Q000637:transplantation*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D012189:Retrospective Studies; D013703:Temporal Muscle; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000601:surgery*; D055815:Young Adult