ISSN 1308-7649 | E-ISSN 2148-3817
Original Article
A Comparison of Cartilage Palisades and Temporal Fascia in Type 1 Tympanoplasty for Bilateral Tympanic Membrane Perforations in Children
1 Department of Ear Nose Throat, Bahçeşehir University School of Medicine, Ankara, Turkey  
2 Department of Ear Nose Throat, Antalya Medical Park Hospital, Antalya, Turkey  
3 Department of Ear Nose Throat, Ankara Numune Training and Research Hospital, Ankara, Turkey  
4 Department of Ear Nose Throat, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey  
J Int Adv Otol 2017; 13: 36-39
DOI: 10.5152/iao.2016.1855
Key Words: Cartilage, palisade, pediatric, bilateral, tympanoplasty

OBJECTIVE: To compare the graft success rates and audiological outcomes of bilaterally performed type 1 tympanoplasty using cartilage palisades or temporal fascia in children.


MATERIALS and METHODS: We retrospectively analyzed the medical records of patients who underwent type 1 tympanoplasty at Medical Park Hospital between May 2007 and February 2013. 27 patients (54 ears) were enrolled in the study: 15 (30 ears) in the palisade cartilage group and 12 (24 ears) in the fascia group.


RESULTS: The graft success rate for the fascia group was 79.2%, and that for the cartilage group was 96.7%. The difference was statistically insignificant (p=0.078). Audiological improvements were seen in both groups, and the difference was statistically insignificant.


CONCLUSION: The use of temporalis fascia grafting has similar outcomes to palisade cartilage tympanoplasty for both success rate and audiological values in children who have bilateral disease.

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