Comparison Between Cartilage And Temporalis Fascia Myringoplasty In Patients With Chronic Suppurative Otitis Media: An Observational Study

Introduction:This study is about the comparison between endoscopic cartilage with perichondrium myringoplasty and endoscopic temporalis fascia myringoplasty in patients with inactive chronic suppurative otitis media.Aim: To compare the outcome of myringoplasty with temporalis fascia and cartilage along with perichondrium as graft material. Materials and Methods:This procedure in terms of comparison between pre-operative and post-operative hearing improvement, graft material, graft uptake, reperforation, and rejection in carefully selected patients.To compare the therapeutic outcome, improvement in hearing and perforation closure using Tragal cartilage with perichondrium and temporalis fascia as graft material in myringoplasty, a sample size of 90 Patients with a clinical diagnosis of chronic suppurative otitis media (inactive), were enrolled in the study. Observation and Result:After obtaining consent from patient, each patient preoperatively monitored for thorough otoscopic examination and pure tone audiometry.And they were divided into two groups; Group A -temporalis fascia graft and Group Bcartilage graft.Post operatively all the operated patients were asked to follow-up for 6 months.And each patient were postoperatively examined for otoscopic examination and pure tone audiometry. Conclusion:The result was statistically correlated and the final report came as both the surgeries were equally effective in successful closure of the perforation and there was statistically significant change in hearing ability among post-operated cartilage group with clinical improvement in hearing , as well as the reduction in airbone gap and less number of reperforation than the temporalis fascia group.