Cem SAKA, Sibel ALİCURA TOKGÖZ, Bülent ÖCAL, Kemal KESEROĞLU, Gökhan TOPTAŞ, Ömer BAYIR, Ali ÖZDEK, İstemihan AKIN

Comparison of graft success rate between cartilage and fascia in endoscopic tympanoplasty: Our long-term results

Objectives: This study aims to present our long-term results of endoscopic tympanoplasty and to compare the perforation closurerates of cartilage grafts versus fascia grafts.Patients and Methods: A total of 112 ears of 103 patients (35 males, 68 females; mean age 33.6 years; range, 9 to 78 years)who underwent endoscopic tympanoplasty due to chronic otitis media between October 2011 and July 2014 were included in thisretrospective study. The operations were divided into two groups according to the graft material type as the fascia group (n=43) andcartilage group (n=69). Demographic data of the patients and perforation closure rates according to the graft material type usedwere recorded.Results: The mean follow-up was 51.4 months. The graft intake rate of the cartilage and fascia groups were 89.8% and 90.7%,respectively (p=1.000). The overall perforation closure rate was found to be 90.2%.Conclusion: Endoscopic tympanoplasty is an effective and less invasive new surgical access technique in otology in whichsatisfactory results for graft intake rates can be achieved even in the beginning stage. The cartilage graft use in endoscopictympanoplasty also yields similar and comparable anatomic success results with the fascia graft.

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