{"title":"A Comparative Study of Cartilage vs. Temporalis Fascia Graft in Endoscopic Tympanoplasty.","authors":"Yesha Shah, Parthprince K Patel, Suktara Sharma","doi":"10.1007/s12070-025-05588-0","DOIUrl":null,"url":null,"abstract":"<p><p>This study aims to compare the efficacy of cartilage and temporalis fascia grafts in endoscopic tympanoplasty, focusing on graft uptake success rates and postoperative hearing outcomes. A prospective interventional randomized study was conducted from 2022 to 2024 in a tertiary care hospital, involving 60 patients aged 18-60 years with chronic otitis media (COM), tubotympanic type of disease. Patients were randomly divided into two groups: 30 underwent tympanoplasty with temporalis fascia grafts, and 30 received cartilage grafts. All surgeries were performed endoscopically using the transcanal approach. Graft uptake success was assessed postoperatively at 1, 3, and 12 weeks. Hearing outcomes were evaluated by comparing preoperative and postoperative air-bone gap (ABG) and pure-tone average (PTA) values at 500 Hz, 1 kHz, 2 kHz, and 3 kHz. Cartilage grafts provide superior structural stability and higher graft uptake success rates, while temporalis fascia grafts offer marginally better short-term hearing outcomes. Both materials significantly improve hearing, but cartilage exhibits greater resistance to re-perforation and long-term durability. The choice of graft material should be tailored to patient-specific factors for optimal surgical success and auditory restoration.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"2852-2856"},"PeriodicalIF":0.4000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297044/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-025-05588-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/31 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
This study aims to compare the efficacy of cartilage and temporalis fascia grafts in endoscopic tympanoplasty, focusing on graft uptake success rates and postoperative hearing outcomes. A prospective interventional randomized study was conducted from 2022 to 2024 in a tertiary care hospital, involving 60 patients aged 18-60 years with chronic otitis media (COM), tubotympanic type of disease. Patients were randomly divided into two groups: 30 underwent tympanoplasty with temporalis fascia grafts, and 30 received cartilage grafts. All surgeries were performed endoscopically using the transcanal approach. Graft uptake success was assessed postoperatively at 1, 3, and 12 weeks. Hearing outcomes were evaluated by comparing preoperative and postoperative air-bone gap (ABG) and pure-tone average (PTA) values at 500 Hz, 1 kHz, 2 kHz, and 3 kHz. Cartilage grafts provide superior structural stability and higher graft uptake success rates, while temporalis fascia grafts offer marginally better short-term hearing outcomes. Both materials significantly improve hearing, but cartilage exhibits greater resistance to re-perforation and long-term durability. The choice of graft material should be tailored to patient-specific factors for optimal surgical success and auditory restoration.
期刊介绍：
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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