Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted?

• Published in: Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2016-09, Vol.68 (3), p.339-344
• Main Authors: Dundar, Riza, Kulduk, Erkan, Soy, Fatih Kemal, Aslan, Mehmet, Yükkaldiran, Ahmet, Çiftçi, Mehmet Ali
• Format: Article
• Language: English
• Subjects: Head and Neck Surgery; Medicine; Medicine & Public Health; Original; Original Article; Otolaryngology; Otorhinolaryngology; Skin & tissue grafts; Surgical techniques
• ISSN: 2231-3796; 0973-7707
• DOI: 10.1007/s12070-015-0825-8

The aim of this study was to compare anatomical and audiological results of boomerang-shaped chondroperichondrial graft (BSCPG) with temporal muscle fascia in type 1 tympanoplasties. Sixty-eight patients in BSCPG group and 54 patients in fascia group were evaluated. Otomicroscopic examination was done periodically till 24 months as for graft perforation, lateralization and retraction and mean air conduction threshold and airbone gap values were measured. At long term controls, in BSCPG group, rates of neomembrane, perforation, retraction and lateralization were 91.17 % (n = 62), 8.82 % (n = 6), 4.41 % (n = 3) and 0 % (n = 0), respectively. In fascia group, the corresponding rates were 79.62 % (n = 43), 20.37 % (n = 11), 12.96 % (n = 7) and 3.7 % (n = 2), respectively. In both groups, mean postoperative PTA and ABG values were significantly better while postoperative same values were significantly different between groups ( p  = 0.044 and 0.032, respectively). Compared to fascia, BSCPG is an ideal grafting technique in the repair of tympanic membrane perforations.