Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting
Abstract Objective To compare surgical results of endoscopic myringoplasty using double layer cartilage-perichondrium grafts versus single fascia grafts. Study design Prospective, randomized, controlled. Setting University-affiliated teaching hospital. Subjects and methods In total,134 patients who...
Main Author: | |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-06-01
|
Series: | Journal of Otolaryngology - Head and Neck Surgery |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s40463-020-00440-7 |
id |
doaj-460d996ff6d64aacb5ebdb0e59406d29 |
---|---|
record_format |
Article |
spelling |
doaj-460d996ff6d64aacb5ebdb0e59406d292020-11-25T03:38:19ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162020-06-014911910.1186/s40463-020-00440-7Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia graftingZheng cai Lou0Department of Otorhinolaryngology, the affiliated Yiwu hospital of Wenzhou medical university (Yiwu central Hospital)Abstract Objective To compare surgical results of endoscopic myringoplasty using double layer cartilage-perichondrium grafts versus single fascia grafts. Study design Prospective, randomized, controlled. Setting University-affiliated teaching hospital. Subjects and methods In total,134 patients who underwent endoscopic myringoplasty were included in this study. Patients in group A received a double layer tragal cartilage-perichondrium graft and those in group B received a temporal muscle fascia graft. The groups were compared with respect to the pre- and postoperative air-bone gap (ABG) and the graft success rate. Results The graft success rate was 98.5% (66/67) in the Group A and 94.0% (63/67) in the Group B at 6 months, the difference wasn’t statistically significant (p = 0.362). However, the graft success rate was 97.0% (65/67) in the Group A and 85.1% (57/67) in the Group B at 12 months, the difference was statistically significant (p = 0.034). In addition, only one patient (1.49%) had small keratin pearls in the Group A, no patients developed cholesteatoma of middle ear in either group. Conclusions The endoscopic double layer perichondrium-cartilage graft technique is feasible for repairing medium or larger perforations, it has a better long-term graft success rate and less operative time compared with the single layer fascia graft technique. However, long-term hearing outcomes were the same for the single and double layer closure techniques.http://link.springer.com/article/10.1186/s40463-020-00440-7EndoscopyMyringoplastyDouble layer graftCartilage-perichondriumFascia graft |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zheng cai Lou |
spellingShingle |
Zheng cai Lou Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting Journal of Otolaryngology - Head and Neck Surgery Endoscopy Myringoplasty Double layer graft Cartilage-perichondrium Fascia graft |
author_facet |
Zheng cai Lou |
author_sort |
Zheng cai Lou |
title |
Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting |
title_short |
Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting |
title_full |
Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting |
title_fullStr |
Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting |
title_full_unstemmed |
Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting |
title_sort |
endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting |
publisher |
BMC |
series |
Journal of Otolaryngology - Head and Neck Surgery |
issn |
1916-0216 |
publishDate |
2020-06-01 |
description |
Abstract Objective To compare surgical results of endoscopic myringoplasty using double layer cartilage-perichondrium grafts versus single fascia grafts. Study design Prospective, randomized, controlled. Setting University-affiliated teaching hospital. Subjects and methods In total,134 patients who underwent endoscopic myringoplasty were included in this study. Patients in group A received a double layer tragal cartilage-perichondrium graft and those in group B received a temporal muscle fascia graft. The groups were compared with respect to the pre- and postoperative air-bone gap (ABG) and the graft success rate. Results The graft success rate was 98.5% (66/67) in the Group A and 94.0% (63/67) in the Group B at 6 months, the difference wasn’t statistically significant (p = 0.362). However, the graft success rate was 97.0% (65/67) in the Group A and 85.1% (57/67) in the Group B at 12 months, the difference was statistically significant (p = 0.034). In addition, only one patient (1.49%) had small keratin pearls in the Group A, no patients developed cholesteatoma of middle ear in either group. Conclusions The endoscopic double layer perichondrium-cartilage graft technique is feasible for repairing medium or larger perforations, it has a better long-term graft success rate and less operative time compared with the single layer fascia graft technique. However, long-term hearing outcomes were the same for the single and double layer closure techniques. |
topic |
Endoscopy Myringoplasty Double layer graft Cartilage-perichondrium Fascia graft |
url |
http://link.springer.com/article/10.1186/s40463-020-00440-7 |
work_keys_str_mv |
AT zhengcailou endoscopicmyringoplastycomparisonofdoublelayercartilageperichondriumgraftandsinglefasciagrafting |
_version_ |
1724542821842550784 |