A comparison of two myringoplasty techniques in Nepalese children: A prospective randomized trial. Issue 9 (September 2015)

• Record Type: Journal Article
• Authors: Tripathi, Prashant; Guragain, Rajendra Prasad; Bhusal, Chop Lal; Karna, Sureshwar Lal; Borgstein, Johannes
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 79:Issue 9(2015:Sep.)
• Page Start: 1556
• Page End: 1560
• Publication Date: 2015-09
• Subjects: Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2015.07.014
• Languages: English
• ISSNs: 0165-5876

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Background</title> <p id="spar0005">In children, the success of myringoplastywith temporalis fascia is lower compared to adults and cartilage as an alternative graft material has shown higher success rate.</p> </sec> <sec> <title id="sect0015">Objective</title> <p id="spar0010">To compare results of myringoplasty using tragal cartilage palisades with the use of temporalis fascia in children with large tympanic membrane perforations.</p> </sec> <sec> <title id="sect0020">Materials and methods</title> <p id="spar0015">This is a prospective and randomized study conducted in children of age 6–14 years with large tympanic membrane perforation of more than two quadrants. Status of graft at or around 6 weeks after surgery was used as morphological outcome measure. Pre- and postoperative audiograms were compared to evaluate audiological outcome in two groups.</p> </sec> <sec> <title id="sect0025">Results</title> <p id="spar0020">Forty seven out of 55 patients completed follow-up. The graft uptake rate in the cartilage palisades and temporalis fascia myringoplasty group was 91.3% (21/23) and 83.33% (20/24), respectively; the difference was not statistically significant (<italic>P</italic> = 0.666). The mean preoperative air-bone gaps (ABG) in cartilage palisades and temporalis fascia group were 36.2 ± 8.9 dB and 33.8 ± 7.5 dB, the difference was not statistically significant (<italic>P</italic> = 0.412). Similarly, the postoperative ABG in cartilage palisades and temporalis fascia group were 25.1 ± 12.2 dB and 17.2 ± 9.2 dB, respectively, the difference was statistically significant (<italic>P</italic> = 0.040). The gap closure was 11.0 dB in palisades group and 16.8 dB in fascia group, but it was not significant (<italic>P</italic> = 0.133).</p> </sec> <sec> <title id="sect0030">Conclusion</title> <p id="spar0025">In our study of pediatric myringoplasty, the morphological and functional outcomes in both cartilage palisades and temporalis fascia groups were comparable.</p> </sec> </abstract>