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Comparative Study of Inlay and Overlay Cartilage Perichondrium Composite Graft Myringoplasty

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Abstract

To compare results of inlay and overlay cartilage-perichondrium composite graft myringoplasty. The present study was conducted in the department of otorhinolaryngology, Pt. B. D. Sharma PGIMS, Rohtak. The study was conducted on 40 patients of either sex in age group of 15–50 years having unilateral or bilateral inactive (mucosal) chronic otitis media with dry ear over a period of at least 4 weeks without use of topical or systemic antibiotics after obtaining their informed and written consent. Mean age in group I was 25.25 ± 7.27 years and in group II was 25.95 ± 9.06 years. Maximum number of patients in both groups were in the age group 15–24 years. Out of the total patients, 60% were males and 40% were females. At 6 months post operatively, 95% cases in group I had successful graft take-up compared to 85% cases in group II. However, at long term follow up for 24 months, graft success rate was statistically significant in group I. In group I, 100% graft uptake was seen in large size perforation of 4 and 5 mm along with 2 mm as compared to group II, with 100% graft uptake for only small size perforation of 2 mm. The mean hearing threshold gain was 16.50 ± 5.52 dB in group I as compared to 13.03 ± 6.44 dB in group II. Mean postoperative improvement in air bone (AB) gap of 16.50 ± 5.52 dB was seen in group I as compared to 13.07 ± 6.44 dB seen in group II. The graft take up rate was found to be better in long term with inlay cartilage- perichondrium composite graft myringoplasty technique compared to over lay technique with both the groups showing significant hearing improvement post-operatively. This high success rate for graft uptake and ease to perform under local anaesthesia makes in-lay cartilage perichondrium composite graft myringoplasty technique relatively optimal to use for office based myringoplasty.

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Acknowledgements

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Funding

No funding was received for conducting this study.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Pt B.D Sharma, PGIMS, Rohtak, Haryana, 124001, India

    Swati Vashisth, Pratik Kumar, Ashiya Goel & Vinny Raheja

  2. Ex-Head of Department of Otorhinolaryngology, Pt B.D Sharma, PGIMS, Rohtak, Haryana, India

    S. P. S. Yadav

  3. Department of Otorhinolaryngology, All Indian Institute of Medical Sciences, Bathinda, India

    Vikasdeep Gupta

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  1. Swati Vashisth
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  2. S. P. S. Yadav
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  3. Pratik Kumar
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  4. Vikasdeep Gupta
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  5. Ashiya Goel
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  6. Vinny Raheja
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by SPSY, SV, PK, VG, AG and VR. The first draft of the manuscript was written by PK and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Pratik Kumar.

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Conflict of interest

The authors have no competing interests to declare that are relevant to the content of this article.

Ethical Approval

This study was done in accordance with the ethical standards of the institutional and/or national research committee or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent to Participate and Publish Data

Informed and written consent was taken from the patients before enrolment in the study for their participation in the study and before the submission of the article and a written consent was also obtained for publishing their data in a journal article.

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Vashisth, S., Yadav, S.P.S., Kumar, P. et al. Comparative Study of Inlay and Overlay Cartilage Perichondrium Composite Graft Myringoplasty. Indian J Otolaryngol Head Neck Surg 75 (Suppl 1), 372–379 (2023). https://doi.org/10.1007/s12070-023-03487-w

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