Cartilage Versus Temporalis Fascia Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation '' Comparative Study ''

Assiut University

Status: Not yet enrolling

Conditions: Tympanic Membrane Perforation

Treatments: Other: tympanoplasty

Study type: Observational

Funder types: Other

Identifiers

NCT05282810

recurrent tympanoplasty

Details and patient eligibility

About

Use of Cartilage Versus Temporalis Fascia as a Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation

Full description

The main aim of successful tympanoplasty is to create a well aerated closed cavity after total removal of the disease. Numerous types of grafting materials have been used for closure of the tympanic membrane including fascia, periosteum, perichondrium, cartilage, vein, skin, and fat tissue . Autografts are thought to be the most compatible grafting materials with the best surgical results in tympanoplasty Temporal muscle fascia is composed of irregularly arranged elastic fibers and fibrous connective tissue. For this reason postoperative dimensions of temporal muscle fascia are unpredictable.

Cartilage has a constant shape, firmer than fascia and also lack fibrous tissue, so that postoperative dimensions remains the same and beside this, it is also nourished by diffusion and show great adaptation with TM . These advantages make the cartilage graft more preferable by otologists recently.

the use of cartilage graft in many different ways such as perichondrium cartilage island technique, palisade technique or cartilage reinforcement technique

Enrollment: 26 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with safe chronic suppurative otitis media patient with recurrent perforation patirnt with coductive hearing loss

Exclusion criteria

• sensorineural hearing loss active infection compromised immune system

Trial design

26 participants in 2 patient groups

cartilage tympanoplasty

Description:

use cartilage in tympanoplasty for recuurent perforation

Treatment:

Other: tympanoplasty

temporalis fascia graft in tympanoplasty

Description:

use temporalis fascia as a graft in tympanoplasty for recuurent perforation

Treatment:

Other: tympanoplasty