title: Comparison of results of graft uptake using tragal cartilage perichondrium composite graft versus temporalis fascia in patients undergoing surgery for chronic otitis media - squamous type.
abstract: BACKGROUND
  To assess, analyze and compare the results of graft uptake using Tragal Cartilage-Perichondrium Composite (TCPC) graft with Temporalis Fascia (TF) graft in patients who undergoing surgery for chronic otitis media - squamous type.
  
  
  METHODS
  Patients aged 13 years and above with diagnosis of chronic otitis media - squamous type undergoing modified radical mastoidectomy, either primary or revision surgery with grafting of tympanic membrane (TM) and patients undergoing excision of postero-superior retraction pocket (PSRP) were included in this study. Patients were divided in two groups: Group A-patients undergoing TCPC graft and Group B -patients undergoing TF graft. Graft uptake results were assessed between 8-12 weeks of surgery.
  
  
  RESULTS
  In both Groups there were 30 patients each. In Group A successful graft uptake was seen in 27 patients (90 %) and failure of graft uptake was seen in 3 patients(10 %). In Group B successful graft uptake was seen in 28 patients (93.3 %) and failure in 2 patients (6.67 %).Out of the total 60 patients, 11 patients had PSRP. All 6 patients with PSRP in Group A had successful graft uptake and no retraction. Among the 5 patients with PSRP in Group B all patients had sucessful graft uptake, however, in 2 patients retraction of the tympanic membrane was seen similar to the preoperative findings.
  
  
  CONCLUSIONS
  There was no statistical difference (p = 0.433) between the use of temporalis fascia or tragal cartilage perichondrium in patients undergoing surgery for chronic otitis media - squamous type.
authors.affiliation: Department of ENT & HNS, Government Medical College, Chandigarh, India.
authors.forename: S
authors.initials: S
authors.lastname: Khalilullah
authors.affiliation: Department of ORL & HNS, BPKIHS, Dharan, Nepal. drshankarshah@gmail.com.
authors.forename: Shankar P
authors.initials: SP
authors.lastname: Shah
authors.affiliation: Department of ORL&HNS, PAHS, Kathmandu, Nepal.
authors.forename: D
authors.initials: D
authors.lastname: Yadav
authors.affiliation: Department of ORL&HNS, TUTH, Kathmandu, Nepal.
authors.forename: R P
authors.initials: RP
authors.lastname: Shrivastav
authors.affiliation: Department of ORL&HNS, TUTH, Kathmandu, Nepal.
authors.forename: H
authors.initials: H
authors.lastname: Bhattarai
mesh_terms: D000293:Adolescent; D002356:Cartilage / Q000637:transplantation*; D016009:Chi-Square Distribution; D002908:Chronic Disease; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009225:Myringoplasty / Q000379:methods*; D010035:Otitis Media, Suppurative / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D011446:Prospective Studies; D018570:Risk Assessment; D016378:Tissue Transplantation / Q000379:methods; D020858:Tissue and Organ Harvesting / Q000379:methods; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult
keywords: Chronic otitis media-squamous type; Postero-superior retraction pocket; Tragal cartilage perichondrium composite graft