International Journal of Otorhinolaryngology and Head and Neck Surgery | March-April 2018 | Vol 4 | Issue 2 Page 565 International Journal of Otorhinolaryngology and Head and Neck Surgery Kumar A et al. Int J Otorhinolaryngol Head Neck Surg. 2018 Mar;4(2):565-568 http://www.ijorl.com pISSN 2454-5929 | eISSN 2454-5937 Original Research Article Comparative study between result of temporalis muscle fascia and tragal cartilage perichondrium as a graft material in type 1 tympanoplasty Abhay Kumar 1 , Prabhu Narayan 1 , Prem Narain 1 *, Jaypal Singh 1 , Prateek Kumar Porwal 1 , Sanjay Sharma 2 , Daya Shankar 3 INTRODUCTION The tympanic membrane (TM) is a thin semi translucent membrane, pearly white in colour, lying obliquely in the medial end of the external auditory canal. It separates the outer ear from the middle ear. Tympanic membrane consists of three layers except in the upper part (pars faccida). Outer epithelial layer, middle fibrous layer and inner mucosal layer. Tympanic membrane perforation is a hole in the tympanic membrane. Most common cause of TM perforation is chronic suppurative otitis media. Other causes include acute otitis media with TM rupture, trauma, or surgical interventions like the placement of a grommet for suppurative otitis media. In addition to hearing loss, TM perforations can lead to ear infection which causes recurrent ear discharge. The aim of tympanoplasty is to reconstruct the tympanic membrane and the sound conducting mechanism. In 1955, Zoellner and Wullstein used different types of graft for tympanoplasty: Temporalis fascia, skin, fascia lata, vein, perichondrium, dura mater. 1-5 Temporalis fascia ABSTRACT Background: Leading cause of deafness in India is chronic suppurative otitis media. Most common cause of TM perforation is chronic suppurative otitis media. With this background this study was to compare hearing results, as well as graft takes for commonly preferred reconstruction techniques of the TM (i.e., temporalis fascia vs. cartilage) in tympanoplasty. Methods: The present study consists of 60 cases of C.S.O.M (TTD) which was divided into two groups with 30 cases in each group. In first group type1 tympanoplasty was done by Temporalis fascia technique. In second group type 1 tympanoplasty done by tragal cartilage with perichondrium technique. History and otoscopic examination along with pure tone audiometry was performed preoperatively. Postoperative hearing results and graft uptake were compared between two groups, all surgeries were performed through the post aural approach. Results: Graft uptake results are better with tragal cartilage with perichondrium technique. Hearing improved significantly in both groups. Though this was slightly better in TFT, but not significant statistically. Conclusions: Graft uptake rates are better with the tragal cartilage with perichondrium technique in comparison of TFT and hearing results are almost equivalent with both techniques. Keywords: Temporal fascia, Tragal perichondrium, Tympanoplasty 1 Department of ENT, UPRIMS&R, Saifai, Etawah, U.P., India Department of ENT and Head and Neck Surgery, 2 GSVM, Kanpur, 3 UPUMS Saifai, Etawah, U.P., India Received: 02 January 2018 Revised: 08 January 2018 Accepted: 10 January 2018 *Correspondence: Dr. Prem Narain, E-mail: draksinha372@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20180726