Jhawar Manan, Patni Digant, Prasad Shubhangi, Gupta Arvind, Jain Sarthak, Kaveeshwar Mansi, Munjal Vishal Rattan
Department of Otorhinolaryngology, SAMC & PGI, Indore, 121/2, Shanti Niketan Colony, Near Bombay Hospital, 452010 Indore, India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):78-83. doi: 10.1007/s12070-023-04085-6. Epub 2023 Jul 25.
The present study was undertaken to compare the results of various autogenous tissues: temporalis fascia, sliced tragal cartilage and fascia lata as graft materials for type I tympanoplasty in terms of hearing improvement in safe type of chronic suppurative otitis media. A total of 75 cases with central perforation were considered in the study. Of the 75 cases, temporalis fascia graft was used in 25 cases (Group-A), fascia lata graft in 25 cases (Group-B), and sliced tragal cartilage graft in 25 cases (Group-C). The results were evaluated in the form of hearing improvement with respect to the graft materials. A significant association was observed between the groups, that is, temporalis fascia (Group-A), fascia lata (Group-B), and sliced tragal cartilage (Group-C) in terms of improvement in AB gap (P = 0.047). Improvement in AB gap was statistically significant between groups B and A, but not between the other groups. In the present study, fascia lata showed better graft uptake as compared to temporalis fascia and sliced tragal cartilage. The hearing assessment at post-operative 3rd month showed statistically significant hearing improvement with fascia lata when compared to temporalis fascia.
本研究旨在比较颞肌筋膜、片状耳屏软骨和阔筋膜等不同自体组织作为I型鼓室成形术移植材料，在安全型慢性化脓性中耳炎听力改善方面的效果。本研究共纳入75例中央穿孔病例。75例中，25例使用颞肌筋膜移植（A组），25例使用阔筋膜移植（B组），25例使用片状耳屏软骨移植（C组）。根据移植材料评估听力改善情况。观察到各分组之间存在显著关联，即颞肌筋膜（A组）、阔筋膜（B组）和片状耳屏软骨（C组）在AB间隙改善方面（P = 0.047）。B组和A组之间AB间隙的改善具有统计学意义，其他组之间则无。在本研究中，与颞肌筋膜和片状耳屏软骨相比，阔筋膜显示出更好的移植接受情况。术后第3个月的听力评估显示，与颞肌筋膜相比，阔筋膜在听力改善方面具有统计学意义。
