Comparative Study of Temporalis Fascial Graft Medial or Lateral to Handle of Malleus in Tympanoplasty

IF 0.1 Q4 OTORHINOLARYNGOLOGY Bangladesh Journal of Otorhinolaryngology Pub Date : 2023-09-18 DOI:10.3329/bjo.v29i1.68128
Timir Kumar Debnath, Aslam Hazari, Shahinur Arefeen, Wakilur Rahman, A K Datta, Abdus Samad
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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
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鼓室成形术中踝内外侧颞筋膜移植物的比较研究
目的:评价和比较两组颞筋膜移植物内侧(下垫法)和外侧(上垫法)置放听骨的听力效果和愈合情况。方法:本回顾性研究于2018年1月至2019年12月在达卡saic(听力受损儿童援助协会)专科耳鼻喉科医院(SENTH)进行,为期两年。104例患者,a组59例(Underlay technology), b组45例(Over-underlay technology)。结果:移植成功率总体为84.62%,a组(内踝)为84.75%,b组(外踝)为84.44%。比较两组手术前后的气骨间隙。结论:两种技术(内踝或外踝柄)对TM穿孔闭合成功率高,气骨间隙明显改善。孟加拉国[J] otorhinolyngol 2023;(1): 29日17-23
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