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Corresponding Author

Ahmed Mohamed Hassanin Goda

Document Type

Original Article

Abstract

Background: Reconstruction of the tympanic membrane (TM) is known as a myringoplasty procedure, and it can be carried out using a variety of techniques under a microscope or endoscope to address hearing impairment caused by TM rupture.

Aim and Objectives: to evaluate the surgical & functional results between 2 techniques in endoscopic myringoplasty: the 1st with the new “cubism” graft and the other with temporalis fascia graft + PRP.

Patient and Methods: 40 patients undergoing endoscopic myringoplasty for chronic otitis media with dry central perforation presented to Al-Azhar University hospitals (Al-Hussein & Sayed Galal). Regarding the graft material, cases were divided into two equal groups, A and B. Group A comprises patients who underwent endoscopic myringoplasty with the new “cubism” graft. Group B: patients who underwent endoscopic myringoplasty with temporalis facia graft + Platelet-Rich Plasma.

Results: There was no statistically significant difference between the two groups regarding age, sex, success rates, and air-bone gap throughout the follow-up period. However, there was a considerable improvement (Decrease) in the air-bone gap over time in the same group. Postoperative follow-ups of patients who underwent endoscopic myringoplasty with cubism graft showed fewer complications.

Conclusion: We concluded that endoscopic myringoplasty with cubism graft showed a promising outcome as it showed comparable results with the other graft and less complication.

Keywords

Endoscopic Myringoplasty, CUBISM, TFG+PRP

Subject Area

ENT

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