TO EVALUATE THE OUTCOME OF TYMPANOPLASTY TYPE I USING DRY AND WET TEMPORALIS FASCIA GRAFT: A RANDOMIZED CONTROL TRIAL.

Abstract

Aim: to evaluate the outcome of tympanoplasty type I using dry and wet temporalis fascia graft.

Methods The present Randomized control trial was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar . Among 100 patients attended the OPD of the ENT and diagnosed with chronic suppurative otitis media. Patients were divided into 2 groups of 50 each: one group underwent dry graft tympanoplasty and the other underwent wet graft tympanoplasty.

Results: The dry graft and wet graft groups had overall surgical success rates of 82 and 88 per cent, respectively; this finding was not statistically significant. A statistically significant high fibroblast count was observed in wet grafts.

Conclusion: The present study concluded that the dry or wet temporalis fascia graft did not affect the outcome of type I underlay tympanoplasty significantly. However, using wet temporalis fascia could shorten the duration of surgery in type I underlay tympanoplasty.

Keywords: tympanoplasty; wet graft, dry graft, temporalis fascia