Tarık YAĞCI, Rıza DÜNDAR, Ahmet YÜKKALDIRAN

Tympanoplasty with Boomerang-Shaped Chondoperichondrial Graft: Long-Term Results

Background: we aimed in this study to evaluate and present the long-term results of type 1 tympanoplasty patients who were operated by using boomerang-shaped chondroperichondrial graft. Methods: One hundred thirty-eight patients who underwent primary type 1 tympanoplasty, had tragal cartilage removal, and used boomerang-shaped chondroperichondrial graft between September 2010 and March 2014 were examined and 62 patients who could be reached through their contact information and had complete preoperative records were included in this retrospective study. Audiological and otomicroscopic examinations were performed on the patients who were contacted. The condition of the graft, preoperative and postoperative air-bone gap values, and retraction findings on graft were noted. These findings were compared with preoperative notes. Results: The preoperative mean air-bone gap value of the patients was 23.690± 1.036 decibels. As a result of the audiological examination performed at the last follow- up of these patients, the mean air-bone gap values of at least fifth year postoperatively were measured as 10.6±0.791 decibels (P < .0001). The control periods were between 122 and 60 months and the mean control period was 73.03 months. Perforation was detected in 6 (9.7%) patients on otomicroscopic examination. Conclusion: Considering the long-term results, we think that this grafting technique of tympanoplasty has adequate and satisfactory results.

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