Role of Tragal Cartilage in Tympanoplasty
- 4 Downloads
To determine the outcomes of using tragal cartilage in performing tympanoplasty. It was a prospective study of 57 patients with chronic suppurative otitis media. In all patients, pure tone audiometry was done pre-operatively. Tragal cartilage with attached perichondrium as graft material was used for ossicular chain reconstruction. In fifty out of the 57 participants, the outcome was intact ossicular chain. Of the 7 failures, 5 were recorded in the age group of 51–65 years, where graft uptake failed and hearing was not improved. Two of the failed cases required revision tympanoplasty. Post operative audiograms on follow-up revealed reduced air–bone gaps, with dry tympanic cavity and improved hearing. This study concluded that ossiculoplasty using tragal cartilage as a grafting material was an effective and safe surgical method for reconstruction of the ossicular chain and restoration of sound transmission.
KeywordsTragal cartilage Ossiculopasty Tympanoplasty Chronic suppurative otitis media
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
No animals were included in the study and no animal was harmed in the study.
Human Participants Consent
Informed and written consent was taken from all the patients who participated in this study.
- 1.Toynbee J (1852) The diseases of the ear: their nature, diagnosis, and treatment Philadelphia. Blanchard and Lea, California, pp 1–47Google Scholar
- 2.Wullstein H (1963) Past and future in tympanoplasty. Arch Otolarying 73:363–364Google Scholar
- 6.Foreman FC (1960) Corneal grafting in middle ear surgery. Laryngoscope 70:1691–1698Google Scholar
- 8.Marquet JFE (1969) Myringoplasty by ear drum transplantation. Laryngoscope 78:1325–1329Google Scholar
- 11.Gajjar YK, Aiyer R (2010) Use of a remodeled autologous incus as an ossicular prosthesis. World Artic Ear Nose Throat 3:1–3Google Scholar