Long-term results of type I tympanoplasty with perichondrium reinforced cartilage palisade vs temporalis fascia for large perforations:A retrospective study

作     者：Dipesh Shakya Ajit Nepal Dipesh Shakya;Ajit Nepal

作者机构：Department of OtorhinolaryngologyCivil Service HospitalMinbhawanKathmanduNepal Department of OtorhinolaryngologyPatan Academy of Health SciencesSchool of MedicineLagankhelLalitpurNepal 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2021年第16卷第1期

页      面：12-17页

核心收录：

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Tympanoplasty Large perforation Temporalis fascia Cartilage palisade Perichondrium 

摘      要：Objective:To compare the rate of graft uptake and postoperative hearing outcomes of Type I tympanoplasty with perichondrium reinforced cartilage palisade to temporalis fascia for large tympanic membrane(TM)perforations over 5 years follow-up *** and methods:This was a retrospective comparative study involving patients with chronic otitis media with large TM *** patients underwent type I tympanoplasty using either perichondrium reinforced cartilage palisade(CP group)or temporalis fascia(TF group)as the graft via a transmeatal approach and under local *** and functional results were recorded at three-and five years *** profiles including age and sex,surgery side,contralateral disease and graft uptake rate,as well as hearing outcomes,were compared between the two ***:At three years follow-up,graft uptake was 94.87%for perichondrium reinforced cartilage palisade and 80.7%for fascia,respectively,(p¼0.67).At five years follow-up,the uptake rate dropped to 87.17%in the CP group,but to 66.6%in the TF group(p¼0.019).Hearing improved after surgery in both groups,and showed no significant difference between the two ***:Over long-term,perichondrium reinforced palisade showed a statistically significant better outcome regarding graft uptake than temporalis fascia in type Itympanoplasty for large TM perforations with comparable audiometric results.