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June 20, 2026Journal of Integrated Health SciencesOpen Access

Comparison between Temporalis Fascia and Tragal Cartilage Tympanoplasties in the Management of Chronic Pars Tensa Retractions

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Authors

STSaai Ram ThejasNPNampally PrashanthKSKamtam Shirisha

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Overview

Randomized trial compares hearing outcomes of tympanoplasties using Tragal Cartilage and Temporalis Fascia in patients with Pars Tensa retractions, indicating varying effectiveness.

Key Points

  • This study aims to evaluate the effectiveness of Tragal Cartilage versus Temporalis Fascia in managing chronic Pars Tensa retractions and their impact on hearing outcomes.
  • Prospective comparative study with 60 patients experiencing unilateral Pars Tensa retractions.
  • Patients randomized into two groups: Group A underwent tympanoplasty with Tragal Cartilage, Group B with Temporalis Fascia, both under General Anaesthesia.
  • Hearing outcomes measured preoperatively and postoperatively using Pure Tone Audiometry and Impedance Audiometry.
  • One month postoperatively, Group B had better Air Conduction Threshold (P=0.04) and Air-Bone Gap (P=0.03).
  • At six months, Group A showed superior hearing outcomes (P=0.01) and lower failure rates (10% vs. 30%, P=0.02).
  • 86.7% of Group A achieved Type A Tympanograms compared to 63.3% in Group B (p<0.01).

Cite This Study

Thejas et al. (2026) studied this question.

synapsesocial.com/papers/6a362f63db0793dc1a536ebfhttps://doi.org/10.4103/jihs.jihs_84_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CARTILAGE REINFORCEMENT GRAFT VERSUS TEMPORALIS FASCIA GRAFT IN TYMPANOPLASTY- RANDOMIZED CONTROL TRIAL2024
  2. 2Comparative Study between Chonchal Cartilage Tympanoplasty and Temporalis Facia Tympanoplasty by Underlay Technique2025
  3. 3Comparing Pure Tone Audiometry, Speech Reception Threshold, and Speech Discrimination Score Outcomes in Type 1 Tympanoplasty: Fascia versus Cartilage Grafts2025
  4. 4Cartilage and Fascia Graft In Type 1 Tympanoplasty: Comparison of Anatomical and Audological Results2019 · 17 citations
  5. 5Outcome of Myringoplasty with Temporal Fascia and With Sliced Tragal Cartilage Graft-A Comparative Study2024