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Tympanoplasty: does dry or wet temporalis fascia graft matter?

Published online by Cambridge University Press:  26 July 2016

G B Singh*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
D Kumar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Employee's State Insurance Hospital, Rohini, New Delhi, India
K Aggarwal
Affiliation:
Department of Pathology, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Garg
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Baba Saheb Ambedkar Medical College and Hospital, Rohini, New Delhi, India
R Arora
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Kumar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
*
Address for correspondence: Prof Gautam Bir Singh, House no. 1433, Sector 15, Faridabad 121007 (National Capital Region), Haryana, India E-mail: gbsnit@yahoo.co.in

Abstract

Objectives:

To evaluate the success rate of dry and wet temporalis fascia grafts in type I underlay tympanoplasty.

Methods:

A prospective, randomised study was conducted. One hundred adult patients (males and females) with chronic suppurative otitis media (mucosal type) were divided into 2 groups of 50 each: one group underwent dry graft tympanoplasty and the other underwent wet graft tympanoplasty. Fibroblast count was calculated in dry and wet grafts.

Results:

The dry graft and wet graft groups had overall surgical success rates of 82 and 90 per cent, respectively; this finding was not statistically significant. A statistically significant high fibroblast count was observed in wet grafts, but it did not correlate with surgical success.

Conclusion:

A dry or wet temporalis fascia graft does not influence the outcome of tympanoplasty type I.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2016 

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