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This retrospective cohort study was performed to compare the myringoplasty using the cartilage-perichondrium complex graft with temporalis fascia microscopic myringoplasty.
From a recent study, it was evaluated that conducting myringoplasty utilizing a cartilage-perichondrium complex graft is similar to the traditional surgical treatment. The location of the perforation, age and middle ear mucosal status did not influence the alterations in drum closure rate and air-bone gap. A perforation size 50% was always associated with a better air-bone gap improvement.
This retrospective cohort study was performed to compare the myringoplasty using the cartilage-perichondrium complex graft with temporalis fascia microscopic myringoplasty.
In this analysis, forty-four patients were there in each group. To stable the baseline characters between cohorts, propensity score-matched analysis was done. Eardrum closure rates and hearing improvement were compared.
The air conduction threshold increase at every frequency was alike in the two groups. The closure rates were 95.45% and 93.18%, respectively. The alteration in drum closure rate and the air-bone gap was not influenced by the location of the perforation, age and middle ear mucosal status. However, there was an association among the size of the perforation and variation in the air-bone gap.
Table-
Mean air-bone gap after the surgery
Myringoplasty using a cartilage-perichondrium complex graft is similar to traditional surgical procedure.
Otolaryngology–Head and Neck Surgery
Myringoplasty With an Ultrathin Cartilage-Perichondrium Complex Graft Versus Temporalis Fascia Graft: A Propensity Score-Matched Analysis
Yi-Bo Huang et al.
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