One-Piece Composite Cartilage-Perichondrium Grafts Compared to Palisade Cartilage Grafts for Endoscopic Tympanoplasty

By June 7, 2019

Larrosa, Francisco1; De Ossó, José Tomás1; Bernal-Sprekelsen, Manuel1
1 Department of Otolaryngology-Head and Neck Surgery, Hospital Clinic, Barcelona, Spain.

The endoscopic approach to tympanoplasty is gaining popularity, but its adoption for the palisade tympanoplasty technique is unstudied. The aim of the present study is to evaluate the effectiveness of endoscopic tympanoplastywith one-piece composite cartilage-perichondrium grafts compared to palisade cartilage grafts for tympanic membrane closure in adult patients with a subtotal perforation.

Retrospective review of 30 adult patients that underwent endoscopic tympanoplasty for a subtotal perforation in a tertiary referral center from January 2018 to January 2019. Patients were divided in two groups depending on the technique used: one-piece composite cartilage-perichondrium grafts were compared to palisade cartilage grafts for tympanic membrane closure. Tympanic membrane closure and audiometric results were compared.

Fifteen one-piece graft and 15 palisade cartilage graft tympanoplasties were analyzed. No statistically significant differences between groups were found in terms of tympanic membrane closure and hearing improvement.

The results of the present study suggest that similar results can be obtained with one-piece composite cartilage-perichondrium graft compared to palisade cartilage technique for endoscopic tympanic membrane closure. Further studies with long-term results will be needed to confirm these findings.