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Tympanoplasty: does dry or wet temporalis fascia graft matter?

Published online by Cambridge University Press:  26 July 2016

G B Singh*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
D Kumar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Employee's State Insurance Hospital, Rohini, New Delhi, India
K Aggarwal
Affiliation:
Department of Pathology, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Garg
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Baba Saheb Ambedkar Medical College and Hospital, Rohini, New Delhi, India
R Arora
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Kumar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
*
Address for correspondence: Prof Gautam Bir Singh, House no. 1433, Sector 15, Faridabad 121007 (National Capital Region), Haryana, India E-mail: [email protected]

Abstract

Objectives:

To evaluate the success rate of dry and wet temporalis fascia grafts in type I underlay tympanoplasty.

Methods:

A prospective, randomised study was conducted. One hundred adult patients (males and females) with chronic suppurative otitis media (mucosal type) were divided into 2 groups of 50 each: one group underwent dry graft tympanoplasty and the other underwent wet graft tympanoplasty. Fibroblast count was calculated in dry and wet grafts.

Results:

The dry graft and wet graft groups had overall surgical success rates of 82 and 90 per cent, respectively; this finding was not statistically significant. A statistically significant high fibroblast count was observed in wet grafts, but it did not correlate with surgical success.

Conclusion:

A dry or wet temporalis fascia graft does not influence the outcome of tympanoplasty type I.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Hermann, H. Tympanic membrane plastic with temporalis fascia [in German]. Hals Nas Ohrenh 1960;9:136–9Google Scholar
2 Rizer, FM. Overlay versus underlay tympanoplasty. Part I: Historical review of the literature. Laryngoscope 1997;107:125 Google Scholar
3 Wehrs, RF. Grafting techniques. Otolaryngol Clin North Am 1999;32:443–55CrossRefGoogle ScholarPubMed
4 Abul-Hassan, HS, von Drasek, Ascher G, Acland, RD. Surgical anatomy and blood supply of the fascial layers of the temporal region. Plast Reconstr Surg 1986;77:1728 Google Scholar
5 Dabholkar, JP, Vora, K, Sikdar, A. Comparative study of underlay tympanoplasty with temporalis fascia and tragal perichondrium. Indian J Otolaryngol Head Neck Surg 2007;59:116–19Google Scholar
6 Shea, JJ Jr. Vein graft closure of eardrum perforations. J Laryngol Otol 1960;74:358–62CrossRefGoogle ScholarPubMed
7 Austin, DF, Shea, JJ Jr. A new system of tympanoplasty using vein graft. Laryngoscope 1961;71:596611 Google Scholar
8 Glasscock, ME 3rd. Tympanic membrane grafting with fascia: overlay vs. undersurface technique. Laryngoscope 1973;83:754–70Google Scholar
9 Jackson, CG, Kaylie, DM, Glasscock, ME 3rd. Tympanoplasty-undersurface graft technique. In: Brackmann, DE, Shelton, C, Arriaga, MA, eds. Otologic Surgery. Philadelphia: Saunders, 2010;149 Google Scholar
10 Athanasiadis-Sismanis, A. Tympanoplasty: tympanic membrane repair. In: Gulya, AJ, Minor, LB, Poe, DS, eds. Glasscock-Shambaugh's Surgery of the Ear. Shelton, CT: PMPH, 2010;484Google Scholar
11 Emmett, JR. Age as a factor in the success of tympanoplasty: a comparison of outcomes in the young and old. Am J Otol 1996;28:285–6Google Scholar
12 Fukuchi, I, Cerchiari, DP, Gracia, E, Rezende, CE, Rapoport, PB. Tympanoplasty: surgical results and a comparison of the factors that may interfere in their success. Braz J Otorhinolaryngol 2006;72:267–71Google Scholar
13 England, RJ, Strachan, DR, Buckley, JG. Temporalis fascia grafts shrink. J Laryngol Otol 1997;111:707–8Google Scholar
14 Alkan, S, Baylancicek, S, Sozen, E, Basak, T, Dadas, B. Effect of use of dry (rigid) and wet (soft) temporal fascia graft on tympanoplasty. J Otolaryngol 2009;38:126–32Google Scholar
15 Loock, JW, Naude, N. A randomised controlled trial comparing fresh, dried, and dried-then-rehydrated temporalis fascia in myringoplasty. Clin Otolaryngol 2008;33:97101 CrossRefGoogle ScholarPubMed
16 Fisch, U, May, J. Tympanoplasty. In: Fisch, U, May, J, Linder, T, eds. Tympanoplasty, Mastoidectomy and Stapes Surgery. Stuttgart: Thieme, 1994;29 Google Scholar
17 Shenoi, PM. Autogenous temporalis fascia grafts: detailed light and electron microscopical observations on the effects of preparations. J Laryngol Otol 1982;96:801–10Google Scholar
18 Walby, AP, Kerr, AG, Nevin, NC, Woods, G. Tissue culture of surgically prepared temporalis fascia. Clin Otolaryngol Allied Sci 1982;7:313–17Google Scholar
19 Kumar, V, Abbas, AK, Fausto, N, Aster, JC. Tissue renewal, regeneration and repair. In: Kumar, V, Abbas, AK, Fausto, N, eds. Robbins and Cotran Pathologic Basis of Disease. Philadelphia: Saunders, 2010;102–3Google Scholar
20 Singh, GB, Sidhu, TS, Sharma, A, Singh, N. Tympanoplasty type 1 in children--an evaluative study. Int J Pediatr Otorhinolaryngol 2005;69:1071–6Google Scholar
21 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995;113:186–7Google Scholar
22 Umapathy, N, Dekker, PJ. Myringoplasty: is it worth performing in children. Arch Otolaryngol Head Neck Surg 2003;129:1053–5Google Scholar
23 Youngs, R. Chronic suppurative otitis media - mucosal disease. In: Ludman, H, Wright, W, eds. Diseases of the Ear, 6th edn. London: Hodder Arnold, 1997;375 Google Scholar
24 Aslan, S, Uslu, S, Köybaşioğlu, A, Oz, O, Ileri, F, Ozbilen, S. Use of dehydrated temporal fascia in chronic otitis media surgery and tympanoplasty [in Turkish]. Kulak Burun Bogaz Ihtis Derg 2008;18:31–4Google Scholar
25 Bhardwaj, V, Verma, R, Puri, S. Novel method of drying temporalis fascia graft for tympanomastoid surgery. Indian J Otol 2013;19:66–7Google Scholar
26 Wormald, PJ, Alun-Jones, T. Anatomy of temporalis fascia. J Laryngol Otol 1991;105:522–4Google Scholar
27 Indorewala, S. Dimensional stability of the free fascia grafts: an animal experiment. Laryngoscope 2002;112:727–30Google Scholar
28 Chow, LC, Wei, WI. Permeatal temporalis fascia graft harvesting for minimally invasive myringoplasty. Laryngoscope 2004;114:386–8Google Scholar
29 Applebaum, EL, Deutsch, EC. An endoscopic method of tympanic membrane flourescein angiography. Ann Otol Rhinol Laryngol 1986;95:439–43Google Scholar
30 Patterson, ME, Lockwood, RW, Sheehy, JL. Temporalis fascia in tympanic membrane grafting. Arch Otolaryngol 1967;85:287–91CrossRefGoogle ScholarPubMed
31 Smyth, GD, Kerr, AG, Nevin, NC. Tympanic membrane grafting: animal and tissue culture experiments. J Laryngol Otol 1971;85:1167–71Google Scholar
32 Salen, B, Wersall, J. Histological study of experimental tympanic closure in cats. Acta Otolaryngol 1968;suppl 244:1532 CrossRefGoogle Scholar
33 Stenfors, LE, Carlsoo, B, Winblad, B. Repair of experimental tympanic membrane perforations. Acta Otolaryngol 1980;90:332–41Google Scholar
34 Johnson, A, Hawke, M. Cell shape in the migratory epidermis of the external auditory canal. J Otolaryngol 1985;14:2273–81Google Scholar
35 Johnson, AP, Smallman, LA, Kent, SE. The mechanism of healing of tympanic membrane perforations: a two-dimensional histological study in guinea pigs. Acta Otolaryngol 1990;109:406–15Google Scholar