Comparative Study of Temporalis Fascia Graft versus Cartilage Shield Tympanoplasty in Chronic Otitis Media - Mucosal Type

Introduction: Tympanoplasty is the procedure of choice for surgical correction tympanic membrane perforation triggered by either chronic otitis media or trauma. Various types autologous grafts have been used to close perforations among which temporalis fascia and tragal cartilage are preferred, due their anatomic proximity, ease harvesting suppleness.
 Aims: To compare clinical audiological outcomes type 1 tympanoplasty where were as graft material.
 Methods: A prospective study was conducted on 50 patients ages ranging from 10 years with Chronic Otitis Media - Mucosal. All underwent categorized into Group-A (Temporalis graft) Group-B (Cartilage graft), each group comprising 25 patients. Graft uptake rate, hearing gain air bone gap closure compared between groups in 4 8 weeks after surgery.
 Results: Out total patients, 20 male 30 female. The average age 28.20 years. whole series 14.94 dB while 14.78 respectively. difference pre post-operative statistically significant both conduction, (P<0.05) series. There 15.56 improvement mean threshold 15.64 group, 14.32 13.92 group. rate 84% 92 % groups.
 Conclusion: results comparable those fascia. Cartilage has a higher low failure also shows high degree reliability risk cases. Both provided similar improvements outcome post-operatively. Thus, recommended an alternative option.