Studying the outcome of tympanoplasty with cartilage versus temporalis fascia

Introduction: Tympanoplasty has been recognized as the surgical management of choice for patient with chronic suppurative otitis media. The outcome of this surgery has been influenced by many factors such as size and site of tympanic membrane perforation, associated middle ear disease, type of graft materials used, pre and post-operative audiometric results. Objectives: To assess the hearing outcome of tympanoplasty by using temporalis fascia versus conchal cartilage. Methods: This is a descriptive chart review study. A total of 50 patients with CSOM in Ohud Hospital at AL-Madinah AL-Munawarah were included in the study, during the period from 29 of December 2018 to 21 January 2019. Data were collected using the patient clinical data, in addition to basic demographic information and assessing patient satisfaction after surgery, those who treated by one physician (senior co-author). Results: This study showed that conchal cartilage is the preferred graft material as the mean post operative hearing gain was 26.6 dB compared to temporalis fascia that was 17.6 dB. Further analysis showed no significant difference in the outcome of surgery among males and females as well as the age differences. Conclusion: As our results are not significant, we cannot conclude which graft material is preferred.