Temporalis fascia versus cartilage graft in myringoplasty

ABSTRACT

The aim of the present study is to compare the surgical and audiological results of temporalis fascia versus conchal cartilage in myringoplasty. A randomized prospective study concerned with 40 patients for whom myringoplasty have been done. These patients were collected from the Out Patient Department of ENT at Al-Jamhory Teaching Hospital, Mosul/IRAQ from January 2009 to January 2012. Patients were randomly assigned into two groups; in the first group temporalis fascia graft was used [18 patient] whileconchal cartilage graft was used in the second group [22 patients]. Our study included 40 patients, 23 males and 17 females. The average age of our patients is 28.4 years with a range from 13- 55 years. Surgical success rates for the first and second groups are 77.78% and 95.45%, respectively. There is19.4 dB improvement in mean hearing threshold in fascia group, compared to 15.2 dB improvement in cartilage group, giving an average of 17 dB improvement in mean hearing threshold of the total series. There was no significant difference neither in surgical success rate nor in hearing gain between the two groups