Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Tympanoplasty is procedure to eradicate disease and reconstruct hearing mechanism with or without tympanic membrane grafting. Type 1 tympanoplasty involves repair of tympanic membrane in normal middle ear. It’s synonymous with myringoplasty. Since inception of tympanoplasty by Wullstein in 1952, variety of graft material and different surgical techniques were tried with various results. The aim of this study is the assessment of graft up take success rate and hearing improvement in type 1 tympanoplasty using vascularized pedicle temporalis fascia graft. This is a quasi‐experimental study that was done in 50 outpatients who attended ENT OPD at government tertiary care center from January 2019 till January 2020 with the diagnosis of Tubotympanic chronic suppurative otitis media who underwent type1 tympanoplasty with vascularized pedicle temporalis fascia graft. Pre‐operative and Post‐operative Air bone gap is done by pure tone audiometry. Out of the 50 patients two patient developed residual perforation in anterior quadrant 1 months after surgery and these patients were among initial part of study and residual perforation is due to inadequate size of graft. In rest of 48 patients graft take‐up was complete and the tympanic membrane was well epithelialized. So graft take‐up rate is 96%. ABG closure less than 20 dB is obtained in over 90% of cases. After the surgical intervention, hearing improved to normal in 35 patients out of the total of 50. The modification of type 1 tympanoplasty using a vascularized pedicle temporalis fascia graft gives excellent graft take‐up rate overcoming the problems of free graft like shrinkage, vascular necrosis, atrophy of graft.
How to cite this article:
Lakshmipriya Narayanankutty Sreelatha, Prathap Ramalingam, Vivekanand Ashok and R. Sreelekshmi. Underlay Type 1 Tympanoplasty Using Vascularised Pedicle Temporalis Fascia Graft.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.256.260
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.256.260