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ORIGINAL RESEARCH article

Front. Neurol.
Sec. Neuro-Otology
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1497162
This article is part of the Research Topic Otorhinolaryngology during and after COVID-19 pandemic: where are we at? View all articles

Cartilage Graft And Temporal Muscle Fascia Graft in Revision Myringoplasty: A Comparison of Anatomical And Functional Results with An Innovative Surgical Technique

Provisionally accepted
Marco Boldreghini Marco Boldreghini *Andrea Canale Andrea Canale Patrizia Peluso Patrizia Peluso Ili Abboud Ili Abboud Elisa Vestrini Elisa Vestrini Andrea Albera Andrea Albera
  • University of Turin, Turin, Italy

The final, formatted version of the article will be published soon.

    The temporal muscle fascia is the most widely used type of tissue graft in revision myringoplasty procedures. The aim of this study was to verify if the use of a cartilage graft may be a valid alternative to temporalis fascia. Tympanic reperforations are frequent after Myringoplasty, especially in complicated, large, or anterior perforations, so we decided to compare the neodrum stability of two different surgical techniques.The study was conducted on 42 patients who underwent revision myringoplasty, carried out with the overlay technique, between 2004 and 2020. In all patients, the retroauricular approach was used. The subjects included in the study were divided into 2 groups: the former was treated with a cartilage graft, while in the latter a temporalis fascia graft was used. In the comparison of the two groups, the following outcomes were taken into consideration: engraftment rate, incidence of complications, pre-and postoperative air conduction pure tone average and air-bone gap. Results: The success rate was 100% for the first group and 83.3% for the second, with a statistically not significant difference. Among the subjects treated with cartilage graft, complications were observed in 8.3% of the cases, while in patients treated with fascia graft the observed complication rate was 43.3% (p = 0.03) , maybe due to the shorter follow-up period of the first group. The improvement of the air conduction pure tone average was greater with cartilage graft (p = 0.02), whereas the difference between air-bone gap closures in the two groups was not statistically significant.The cartilage graft can represent a valid alternative to temporal muscle fascia, guaranteeing excellent engraftment, fewer complication rate and satisfactory hearing outcomes.

    Keywords: Cartilage graft, Myringoplasty, Temporalis fascia, myringoplasty revision, Surgical techniques evaluation

    Received: 16 Sep 2024; Accepted: 26 Dec 2024.

    Copyright: © 2024 Boldreghini, Canale, Peluso, Abboud, Vestrini and Albera. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Marco Boldreghini, University of Turin, Turin, Italy

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