Cartilage Versus Temporalis Fascia Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation '' Comparative Study ''

Study Overview
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Brief Summary
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Use of Cartilage Versus Temporalis Fascia as a Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation

Detailed Description
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The main aim of successful tympanoplasty is to create a well aerated closed cavity after total removal of the disease. Numerous types of grafting materials have been used for closure of the tympanic membrane including fascia, periosteum, perichondrium, cartilage, vein, skin, and fat tissue . Autografts are thought to be the most compatible grafting materials with the best surgical results in tympanoplasty Temporal muscle fascia is composed of irregularly arranged elastic fibers and fibrous connective tissue. For this reason postoperative dimensions of temporal muscle fascia are unpredictable. Cartilage has a constant shape, firmer than fascia and also lack fibrous tissue, so that postoperative dimensions remains the same and beside this, it is also nourished by diffusion and show great adaptation with TM . These advantages make the cartilage graft more preferable by otologists recently. the use of cartilage graft in many different ways such as perichondrium cartilage island technique, palisade technique or cartilage reinforcement technique

Official Title
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Cartilage Versus Temporalis Fascia Graft in Tympanoplasty for Recurrent Tympanic Membrane

Conditions
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Tympanic Membrane Perforation

Intervention / Treatment
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* Other: tympanoplasty


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with safe chronic suppurative otitis media patient with recurrent perforation patirnt with coductive hearing loss Exclusion Criteria: sensorineural hearing loss active infection compromised immune system

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| cartilage tympanoplasty<br>use cartilage in tympanoplasty for recuurent perforation | Other: tympanoplasty<br>* use of cartilage versus tempotalis fascia in tympanoplasty for recuurent perforation<br>|
| temporalis fascia graft in tympanoplasty<br>use temporalis fascia as a graft in tympanoplasty for recuurent perforation | Other: tympanoplasty<br>* use of cartilage versus tempotalis fascia in tympanoplasty for recuurent perforation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cartilage Versus Temporalis Fascia Graft in Tympanoplasty for Recurrent Tympanic Membrane Perforation '' Comparative Study '' | compare of improvment of hearing by using temporalis fascia versus cartilage tympanoplasty in recurrent perforation compare of graft take up by using temporalis fascia versus cartilage tympanoplasty in recurrent perforation | Baseline |