Results of Tragal Perchondrium and Cartilage in Middle Ear Reconstructive Surgery

Introduction: There will always be never ending quest to find ideal graft material in middle ear reconstructive surgery. Of all the graft materials used till date the temporalis fascia still enjoys the otologist’s favour. This study was an attempt to find the results of the tragal perichondrium and cartilage in the middle ear reconstructive surgery in terms of the graft uptake and the hearing results in patients of the chronic suppurative otitis media. Material and Methods: The present study was done in patients of chronic suppurative otitis media patients. The tragal perichondrium was used as a graft material for repair. The complete demographic and clinical data was collected. Following surgery, graft survival was studied and audiological assessment was carried out. The follow up of the patient was for atleast one year. Result: 30 patients were included in the study with 31 ears operated. The overall graft uptake obtained in our study was 80.65% and the hearing improvement that is 10dB air bone closure was seen in 7 of the 12 ears (58.33%). Conclusions: The results of this study emulate the earlier done tragal perichondrium and cartilage studies world over. The hearing results may not show the improvement as in other studies due to small number of patients studied. But overall, tragal perichondrium and cartilage serves as a good substitute available in adequate amounts in the vicinity of the surgical

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