Timir Kumar Debnath, Aslam Hazari, Shahinur Arefeen, Wakilur Rahman, A K Datta, Abdus Samad
{"title":"Comparative Study of Temporalis Fascial Graft Medial or Lateral to Handle of Malleus in Tympanoplasty","authors":"Timir Kumar Debnath, Aslam Hazari, Shahinur Arefeen, Wakilur Rahman, A K Datta, Abdus Samad","doi":"10.3329/bjo.v29i1.68128","DOIUrl":null,"url":null,"abstract":"Objective: To asses and compare the hearing outcome and healing of Temporalis fascia graft in both groups by placing the graft medial (underlay technique) or lateral to the handle of malleus (over- underlay technique). Method: This retrospective study conducted for a period January,2018 to December 2019- Two years period in Specialized ENT Hospital (SENTH) of SAHIC (Society for assistance to hearing impaired Children), Dhaka. It includes 104 patients, Group-A 59 patients (Underlay technique) and Group-B 45 patients (Over-underlay technique). Result: Graft success rate overall 84.62%, Group-A- 84.75% (Medial to malleus) and Group-B- 84.44% (lateral to malleus). Pre- and post- operative air- bone gap of two groups were compared. Conclusion: Both techniques (medial or lateral to malleus handle) has a high rate of success for the closure of TM perforation with significant improvement in air-bone gap. Bangladesh J Otorhinolaryngol 2023; 29(1): 17-23","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":"12 1","pages":"0"},"PeriodicalIF":0.1000,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Journal of Otorhinolaryngology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/bjo.v29i1.68128","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To asses and compare the hearing outcome and healing of Temporalis fascia graft in both groups by placing the graft medial (underlay technique) or lateral to the handle of malleus (over- underlay technique). Method: This retrospective study conducted for a period January,2018 to December 2019- Two years period in Specialized ENT Hospital (SENTH) of SAHIC (Society for assistance to hearing impaired Children), Dhaka. It includes 104 patients, Group-A 59 patients (Underlay technique) and Group-B 45 patients (Over-underlay technique). Result: Graft success rate overall 84.62%, Group-A- 84.75% (Medial to malleus) and Group-B- 84.44% (lateral to malleus). Pre- and post- operative air- bone gap of two groups were compared. Conclusion: Both techniques (medial or lateral to malleus handle) has a high rate of success for the closure of TM perforation with significant improvement in air-bone gap. Bangladesh J Otorhinolaryngol 2023; 29(1): 17-23