Comparative Study of Temporalis Fascial Graft Medial or Lateral to Handle of Malleus in Tympanoplasty

Authors

  • Timir Kumar Debnath Consultant, Specialized ENT Hospital (SENTH) of SAHIC, Mohakhali, Dhaka.
  • Aslam Hazari Associate Consultant, SENTH of SAHIC.
  • Shahinur Arefeen Associate Consultant, SENTH of SAHIC.
  • Wakilur Rahman Junior Consultant, SENTH of SAHIC.
  • A K Datta Consultant, SENTH of SAHIC.
  • Abdus Samad Senior Consultant, SENTH of SAHIC, Mohakhali, Dhaka.

DOI:

https://doi.org/10.3329/bjo.v29i1.68128

Keywords:

Tympanoplasty, Graft placement, Temporalis fascia.

Abstract

Objective: To asses and compare the hearing outcome and healing of Temporalis fascia graft in both groups by placing the graft medial (underlay technique) or lateral to the handle of malleus (over- underlay technique).

Method: This retrospective study conducted for a period January,2018 to December 2019- Two years period in Specialized ENT Hospital (SENTH) of SAHIC (Society for assistance to hearing impaired Children), Dhaka. It includes 104 patients, Group-A 59 patients (Underlay technique) and Group-B 45 patients (Over-underlay technique).

Result: Graft success rate overall 84.62%, Group-A- 84.75% (Medial to malleus) and Group-B- 84.44% (lateral to malleus). Pre- and post- operative air- bone gap of two groups were compared.

Conclusion: Both techniques (medial or lateral to malleus handle) has a high rate of success for the closure of TM perforation with significant improvement in air-bone gap.

Bangladesh J Otorhinolaryngol 2023; 29(1): 17-23

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Published

2023-09-18

How to Cite

Debnath, T. K. ., Hazari, A. ., Arefeen, S. ., Rahman, W. ., Datta, A. K. ., & Samad, A. . (2023). Comparative Study of Temporalis Fascial Graft Medial or Lateral to Handle of Malleus in Tympanoplasty. Bangladesh Journal of Otorhinolaryngology, 29(1), 17–23. https://doi.org/10.3329/bjo.v29i1.68128

Issue

Vol. 29 No. 1 (2023)

Section

Original Articles

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