Comparative Study of Graft Placement Between Medial and Lateral to Malleus in Tympanoplasty

Main Article Content

Somnath Ray
Saheli Ghosh
Ayanangshu Jana
Santanu Sit
Sumit Kumar Basu

Abstract

Abstract


Introduction


Tympanoplasty is a surgical method, to eradicate middle ear infection and improve its function. In tympanoplasty graft can be by overlay or underlay technique. In underlay technique the graft material can be placed either medial or lateral to the handle of malleus.


Objective: To compare the outcome of the surgery when the temporalis fascia graft is placed medial or lateral to the handle of malleus, in terms of complete take up of the graft and hearing improvement after the surgery.


Materials & methods


A prospective and comparative hospital-based study was done in the Otorhinolaryngology (ENT) department of a tertiary referral hospital of Kolkata, from 1st January, 2021 to 30th June, 2022 (18 months). 60 patients were included in the study.


Results


We found that association of tympanic membrane status with group was not statistically significant after 1 month of surgery (p=1.0000) and after 3 months of surgery (p=0.6711). Distribution of mean postoperative hearing gain after 3 months of surgery with group was not statistically significant (p=0.3020).


Conclusion


We found both the techniques are equally effective in terms of complete graft take up and post operative hearing gain after 3 months follow up.

Article Details

How to Cite
1.
Ray S, Ghosh S, Jana A, Sit S, Basu SK. Comparative Study of Graft Placement Between Medial and Lateral to Malleus in Tympanoplasty. BJOHNS [Internet]. 2023Jul.29 [cited 2024Dec.21];30(3):319-22. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/897
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Main article
Author Biographies

Somnath Ray, KPC Medical College & Hospital,Kolkata

3rd year postgraduate trainee, Department of ENT

Saheli Ghosh, KPC Medical College & Hospital, Kolkata

2nd year postgraduate trainee, deparment of ENT

Ayanangshu Jana, KPC Medical College & Hospital, Kolkata

1st year postgraduate trainee, department of ENT.

Santanu Sit, KPC Medical College & Hospital,Kolkata

Assistant professor ,department of ENT

Sumit Kumar Basu, KPC Medical College & Hospital, Kolkata

Professor, department of ENT.

References

References

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