الفهرس | Only 14 pages are availabe for public view |
Abstract Different methods and grafting materials have been used in tympanoplastic surgery. Grafting materials initially were of epidermal origin, and later various mesenchymal tissues were used. Temporalis fascia and perichondrium remain the most commonly used materials. However, in certain conditions such as large perforations and revision tympanoplasty, fascia and perichondrium often undergo atrophy and subsequent failure in the postoperative period. Fascia has been shown as a promising material in tympanoplasty. Although it is similar to cartilage and perichondrium as being mesenchymal tissue, it is more rigid quality tends to resist resorption and retraction. Our study included 14 patients suffering from mucosal type of chronic suppurative otitis media with subtotal tympanic membrane perforations. Audiological assessment was performed 3 months postoperatively. The cases were considered successful if the air-bone gap at the speech frequencies 500, 1000, 2000, 4000 Hz was decreased 10-15db or less. Comparing the present results with those of other researches using the same techniques, revealed that they are almost similar regarding success rate and graft taking. |