Publication: Comparison of Graft Uptake and Postoperative Hearing Results between Butterfly-Cartilage and Temporalis-Fascia Myringoplasty
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Sah, Amiya K | |
| dc.contributor.author | Rayamajhi, Pabina | |
| dc.contributor.author | Bhattarai, Hari | |
| dc.date.accessioned | 2026-04-03T07:08:53Z | |
| dc.date.available | 2026-04-03T07:08:53Z | |
| dc.date.issued | 2020 | |
| dc.description | Amiya K Sah1, Pabina Rayamajhi2, Hari Bhattarai2 1Department of ENT- Head & Neck Surgery, Janakpur Zonal Hospital, Janakpurdham, Nepal 2Department of ENT- Head & Neck Surgery, Maharajgunj Medical Campus, Ganesh Man Singh Memorial Academy of ENT - Head & Neck Studies, Institute of Medicine, Maharajgunj, Kathmandu, Nepal | |
| dc.description.abstract | ABSTRACT Introduction: Myringoplasty is one of the commonest surgeries done in Otology for chronic otitis media- mucosal type (COM-mucosal type). The objective of this study was to compare the graft uptake and post-operative hearing status between butterfly-cartilage and temporalis-fascia myringoplasty. Methods: Patients of age ≥15 years with COM-mucosal type with dry, small to medium sized central perforation of pars tensa with clearly visible perforation margin were randomized into two groups of butterfly-cartilage myringoplasty and temporalis-fascia myringoplasty. Graft uptake and hearing results were assessed after six weeks and results were compared within and between the groups. Results: Thirty-one patients in butterfly cartilage group and twenty-nine patients in temporalis fascia group were analysed. Graft uptake rate was 93.5% (29/31) in butterfly group and it was 86.2% (25/29) in temporalis fascia group with no statistically significant difference (p= 0.34) between the two groups. The mean pre and post-operative air bone gap in butterfly cartilage group were 20.65dB±8.35 dB; 12.86dB±7.39dB and that in the temporalis fascia group were 19.72±6.14dB, 13.16dB±6.26dB respectively. The difference of preoperative and postoperative hearing status, obtained within the two groups was statistically highly significant (p< 0.001). However, there was no statistically significant difference in hearing results between the two groups (p= 0.54). Conclusion: The graft uptake rate and hearing results of butterfly-cartilage group and temporalis-fascia group were statistically significant within the group after myringoplasty but there was no statistically significant difference in between the two methods. Keywords: Air bone gap, air conduction threshold, butterfly cartilage, myringoplasty | |
| dc.identifier | https://doi.org/10.59779/jiomnepal.1076 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5597 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Air bone gap | |
| dc.subject | air conduction threshold | |
| dc.subject | butterfly cartilage | |
| dc.subject | myringoplasty | |
| dc.title | Comparison of Graft Uptake and Postoperative Hearing Results between Butterfly-Cartilage and Temporalis-Fascia Myringoplasty | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 11 | |
| oaire.citation.startPage | 7 | |
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