Endoscopic Fascia-Cartilage Composite Grafting in Chronic Suppurative Otitis Media

  • Zeeshan Ayub Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS), Pakistan
  • Amir Ali Khan Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS), Pakistan
  • Atif Rafique Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS), Pakistan
  • Irfan Saeed Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS), Pakistan
  • Junaid Alam Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS), Pakistan
Keywords: Air-bone gap, Cartilage, Chronic suppurative otitis media

Abstract

Objective: To evaluate perforation of an air-bone gap closure success using fascia-cartilage composite graft in endoscopic Trans canal tympanoplasty.

Study Design: Randomized Control Trial (Clinical Trials.gov Identifier: NCT04945811)

Place and Duration of Study: ENT Department Combined Military Hospital, Quetta Pakistan, from Apr 2020 to May 2021

Methodology: One hundred and thirty-three cases of chronic Suppurative otitis media fulfilling the selection criteria were operated upon, and an endoscopic fascia-cartilage composite graft was used. A successful outcome in terms of perforation closure and air-bone gap closure was evaluated in all patients.

Results: In the 138 patients operated, complete fascia-cartilage composite graft uptake was achieved in 129 (93.5%) patients. Nine (6.5%) patients had graft failure. The pre-operative mean air-bone gap was 36.49 ± 4.61 decibels, and the postoperative mean air-bone gap was 12.57 ± 5.09 decibels. This improvement was found to be significant, with the p-value < 0.001.

Conclusion: Endoscopic per-meatal fascia-cartilage composite grafting has a high graft uptake and air-bone gap closure percentage in chronic Suppurative otitis media cases.

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Published
2022-08-26
How to Cite
Ayub, Z., Khan, A., Rafique, A., Saeed, I., & Alam, J. (2022). Endoscopic Fascia-Cartilage Composite Grafting in Chronic Suppurative Otitis Media. Pakistan Armed Forces Medical Journal (PAFMJ), 72(4), 1177-80. https://doi.org/10.51253/pafmj.v72i4.7733
Section
Original Articles