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Online J Otolaryngol. 2014; 4(2): 26-39

The Outcome of Shield Graft Tympanoplasty: A Single Center Descriptive Study at KAMC

Mohamed Sa’ad Eldin Aly, Malak Jamal Gazzaz, Doaa Abdelmoety, Ahmed Almadani.

Cartilage has proven to be a favorable graft material to close tympanic membrane perforations.
Objective: In this study we describe our experience with cartilage shield graft tympanoplasty in reconstruction of tympanic membrane perforations.
Study Design: A retrospective review was done on 42 patients. The male to female ratio was 19:23 and the age range 11-72 years. Cases varied between Chronic Otitis Media with Dry Perforation and Ossicular Discontinuity and were treated with cartilage shield graft tympanoplasty type I or III, respectively. The corresponding
author performed all operations over a period of 2 years at the department of Otolaryngology Head and Neck Surgery at King Abdullah Medical City, Makkah, Saudi Arabia.

Methods: Patient and disease information were collected
retrospectively and analyzed. Results: Graft take was achieved in 42 patients (100%).
No statistically significant association between the postoperative pure tone average – air bone gap results and age, sex, or type of tympanoplasty was observed (p>0.05).
The overall mean preoperative pure tone average – air bone gap was 27.0±10.5 dB, and it decreased to 14.9±7.0 dB 3 months postoperatively. A statistically significant improvement was observed (p

Key words: shield graft myringoplasty, cartilage myringoplasty

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American Journal of Research in Medical Sciences


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