Comparative Study of Temporalis Fascia and Tragal Cartilage Grafts Used in Myringoplasty

Abstract

Introduction: In myringoplasty, the choice of graft material is crucial for the successful outcome of surgery. The selection of ideal graft is directly related to the size and location of the perforation and also surgeon’s preference. In this study, we compared the efficacy of temporalis fascia graft with tragal cartilage on hearing outcomes. Aim: To compare the hearing outcomes between temporalis fascia graft and tragal cartilage graft in myringoplasty. Objectives: To compare the postoperative hearing improvement between the temporalis fascia graft group and the tragal cartilage graft group. Materials & methodology: In this retrospective study, the records of 40 patients who underwent myringoplasty were included out of which 20 patients (group A) underwent type 1 tympanoplasty with temporalis fascia graft and 20 patients (group B) underwent type 1 tympanoplasty with tragal cartilage graft. Both  groups were assessed for hearing on the day before surgery and compared with hearing assessment done 3 months following surgery. Results: There was no statistically significant difference between the postoperative air-bone gap values of Group A and Group B (p < 0.001). Conclusion: This study validates that both graft types effectively restore hearing levels.

Keywords : Tympanoplasty, temporalis fascia, tragal cartilage, myringoplasty, grafts