Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty.
OBJECTIVE
This study aims to investigate the prevalence of myringosclerosis in tragal perichondrium (TP) and temporalis fascia (TF) grafts after myringo-/tympanoplasty.


METHODS
Thirty patients, who were diagnosed with non-suppurative chronic otitis media and administered myringo-/tympanoplasty under general anesthesia using TP or TF as grafting material in our clinic between January 2012 and May 2013, were recruited in this retrospective case-control study. Patients were divided into two groups according to used graft material as group 1 (TP) (9 males, 6 females; median age 35.4 years; range 20 to 62 years) and group 2 (TF) (7 males, 8 females; median age 39.8 years; range 19 to 63 years). Occurrence of myringosclerosis on the intact tympanic membrane grafts was evaluated postoperatively by the same surgeon under surgical microscope.


RESULTS
Postoperative myringosclerosis was detected in six patients (40%) in TP group and 13 patients (86.7%) in TF group.


CONCLUSIONS
Prevalence of myringosclerosis on graft materials used in myringo-/tympanoplasty was lower in TP group compared to TF group. We believe that this may be due to different vascular structures of different graft tissues and that the low predisposition of perichondrium towards development of myringosclerosis can be considered as an advantage for this graft. We hope that this study adds a new dimension to etiopathogenesis of myringosclerosis and assists otologists in the prevention and treatment of this lesion.
Department of Otolaryngology, Bozyaka Training and Research Hospital, 35170 Bozyaka, İzmir, Turkey. tcatli80@hotmail.com.
Tolgahan
T
Çatli
Çağri
Ç
Çelik
Emine
E
Demir
Harun
H
Gür
Taşkin
T
Tokat
Levent
L
Olgun
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002356:Cartilage / Q000637:transplantation*; D002908:Chronic Disease; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000009:adverse effects*; D063371:Myringosclerosis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D010033:Otitis Media / Q000601:surgery*; D011183:Postoperative Complications; D015995:Prevalence; D012189:Retrospective Studies; D016896:Treatment Outcome; D014421:Turkey; D018058:Tympanic Membrane Perforation / Q000601:surgery*; D014433:Tympanoplasty / Q000009:adverse effects*; D055815:Young Adult