Abstract

Tympanoplasty is a procedure used to eradicate disease in the middle ear and to reconstruct the hearing mechanism. Assessment of the success rate and efficacy of the technique of composite chondroperichondrial clip tympanoplasty for repair of small and medium sized tympanic membrane perforations and to assess this graft and audio logical results of this technique in comparison to the traditional perichondrial/cartilage composite underlay graft technique was addressed.

Study design: A prospective randomized comparative clinically controlled study in patients with small or medium-sized perforation. 40 patients were included and divided into 2 groups.

a) Setting: Operating room in otolaryngology department and audiology unit, Zagazig University, Egypt.

b) Subjects and methods: 40 patients had their ears dry for a least 1 month before surgery without antibiotics. Age was above 12 years and sex included both males and females. All had their perforation located centrally in the TM in case of small perforation (occupy <1/4th of the TM) and medium-sized perforation occupied <1/2 of the TM. Patients with total or large perforation, marginal perforation, patients with sensorineural hearing loss (SNHL) or those with active infection or cholesteatoma were excluded from the study. Surgery was done under local anesthesia.

Results: Audio logical profile in the 2 groups was the same with adding easiness in the surgical technique and less intra-operative complications were notices.

Conclusion: The use of cartilage graft is feasible in achieving success in tympanoplasty

Keywords: Tympanic membrane; Csom; Tympanoplasty; Cartilage; Graft and air/bone gab