To Compare Short and Long-Term Graft Uptake and Hearing Outcome of Type I Cartilage Tympanoplasty Between Small, Medium and Large Perforations Using Reinforced Sliced Conchal Cartilage

  • Satinder Pal SinghEmail author
  • Ravinder Singh Nagi
  • Jagdeepak Singh
Original Article


To compare short and long-term graft uptake and hearing outcome of type I cartilage tympanoplasty between small, medium and large perforations using reinforced sliced conchal cartilage. A retrospective study conducted in a tertiary center. Fifty patients who under went type I tympanoplasty were enrolled. Their mean age was 29.30 years and follow-up time was 6 and 18 months. The preoperative, postoperative short-term and long-term hearing and graft uptake results were analyzed. Graft uptake rate was 96% in short-term and 98% in long-term with one residual perforation in medium size, but 100% in small and large perforations (P < 0.01). Short and long-term ABG closure was identical in small and medium size perforation (P = 0.978) (P = 0.734), but, large perforation showed significant improvement in long-term (P = 0.012). Sliced conchal cartilage reinforced with temporalis fascia is a reliable technique for tympanoplasty. In long-term, large perforations have better graft uptake rate and continuous hearing improvement and ABG closure than small and medium perforations.


Type I tympanoplasty Reinforced sliced conchal cartilage Graft uptake Air-bone gap 


Financial Disclosure


Compliance with Ethical Standards

Conflict of interest

The author declares that they have no conflict of interest


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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  • Satinder Pal Singh
    • 1
    Email author
  • Ravinder Singh Nagi
    • 2
  • Jagdeepak Singh
    • 3
  1. 1.Department of ENT and Head Neck SurgeryGovernment Medical College AmritsarAmritsarIndia
  2. 2.Department of ENT and Head Neck SurgeryGovernment Medical College AmritsarAmritsarIndia
  3. 3.Department of ENT and Head Neck SurgeryGovernment Medical College AmritsarAmritsarIndia

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