Homograft Cartilage Tympanoplasty Outcomes

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Head and Neck Surgery, School of Medicine, Isfahan University of Medical Scinces, Isfahan, Iran

2 Resident, Department of Head and Neck Surgery, School of Medicine And Student Research Committee, Isfahan University of Medical Scinces, Isfahan, Iran

Abstract

Background: Tympanoplasty is done to eradicate ear pathology and to restore the conductive hearing mechanism. The relapse of disease is seen after using Temporalis fascia, as graft, in this surgery. Cartilage is of the materials that can be used to enhance graft. This study was done to evaluate hearing after homograft cartilage tympanoplasty.Methods: This clinical trial study conducted in Alzahra hospital in Isfahan, Iran. 40 patients with recurrent perforation, retraction pocket and cholestatoma were operated by homograft cartilage tympanoplasty method. The audiometery was down for all of the patients before and after tympanoplasty. All patients were followed up for at least 6 months. The data was analyzed by SPSS software using Student’s t, paired t and ANOVA tests.Findings: After at least 6 months of surgery, there was not any case of perforation or cholestatoma recurrency. The change in range of 500, 1000, 2000 and 4000 frequency was 5.9 ± 1.9, 5.9 ± 1.6, 4.6 ± 1.6 and 3.8 ± 1.6 respectively and the difference between before and after surgery was statistically significant. In the other word, audiometry revealed improvement at all frequencies.  Conclusion: Homograft cartilage tympanoplasty prevents perforation, cholestatoma and retraction paket recurancy after surgery. Hearing results were good. 

Keywords

References

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Journal of Isfahan Medical School
Volume 29, Issue 155 - Serial Number 155
September and October 2011
Pages 1401-1405

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History

  • Receive Date: 18 May 2011
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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