2017, Number S1
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Rev Med Inst Mex Seguro Soc 2017; 55 (S1)
Cartilage island versus temporalis fascia in highrisk tympanic perforation
Durán-Padilla CL, Martínez-Chávez J, Amador-Licona N, Pereyra-Nobara TA
Language: Spanish
References: 15
Page: 58-63
PDF size: 299.14 Kb.
ABSTRACT
Background: The tympanoplasty for high-risk tympanic membrane
perforation is a challenge. It is necessary to compare the most useful
and feasible surgical technics in our environment for these patients.
The objective was to compare the cartilage island tympanoplasty for the
treatment of high-risk tympanic membrane perforations versus the use
of temporalis fascia.
Methods: Randomized controlled clinical trial in 69 patients of ten years
or older, diagnosed with high-risk tympanic membrane perforation in a
third level hospital. The MERI index was determined and an initial audiometry
was obtained. 7, 30 and 60 days after the tympanoplasty the tympanic
graft integrity was evaluated. The audiometry was only repeated
at 60 days.
Results: 69 patients were included, 33 received cartilage island (group 1)
and 36 temporalis fascia (group 2). 93.9% was the success rate for group
1 at 30 and 60 days and 83.3% for group 2 (
p = 0.17). Hearing improvement
was neither different between groups (33.1 vs. 33.6 dB;
p = 0.88),
for group 1 and 2, respectively.
Conclusion: No difference in morphological and audiological outcomes
using cartilage island tympanoplasty or temporalis fascia for the treatment
of high-risk tympanic membrane perforation was found.
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