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Year : 2021  |  Volume : 27  |  Issue : 1  |  Page : 40-43

Prospective study of use of Island of tragal cartilage in revision tympanoplasty

Department of ENT, School of Medicine, D.Y. Patil University, Navi Mumbai, Maharashtra, India

Correspondence Address:
Dr. Bhavika Verma
B-1403, Sai Sanskar, Next to Telecom Factory, Deonar, Mumbai - 400 088, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/indianjotol.indianjotol_224_20

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Background: Ideal graft material in revision tympanoplasty is a topic of much research. Cartilage being sturdy and stable even in negative pressure situations, is a viable option. Aims and Objectives: The aim of the present study was to evaluate graft uptake and hearing improvement using the technique of island of tragal cartilage as a graft material in revision tympanoplasty. Materials and Methods: This was a prospective study of total of 60 Type 1 revision tympanoplasty surgeries which were done using tragal cartilage island graft from December 2017 to December 2019 in our institute with a follow-up of 3 months. Results: Graft uptake in our study was found to be 93.33%. Four patients showed a re-perforation during follow-up. The mean preoperative air-bone gap (ABG) was 28.13 dB, while the postoperative mean ABG was 16.83 dB and the mean gain was 12.83 dB. Conclusion: It is thus worthwhile to consider island of tragal cartilage as a graft material in revision tympanoplasty.

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