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August 15, 2026CureusOpen Access

Beyond the Tradition in Tympanoplasty: A Retrospective Cohort Study of a New Modified Palisade Tympanoplasty Technique

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Authors

RNRula NaqiISIsraa SinanQueens UniversityNANoora AlthawadiUniversity College Hospital

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Implication

Retrospective cohort study reveals high graft uptake and functional hearing recovery in tympanoplasty patients, indicating modified palisade cartilage effectively restores hearing.

Key Points

  • To evaluate the anatomical and functional success of a modified palisade cartilage tympanoplasty designed to improve graft flexibility, stability, and hearing outcomes.
  • Retrospective cohort study of N=19 patients (age range 9–64 years) who underwent modified palisade tympanoplasty using a tragal composite cartilage-perichondrium graft at a tertiary referral center between 2019 and 2023.
  • Assessed graft uptake, anatomical success (intact, dry tympanic membrane), and functional success (postoperative air-bone gap ≤ 20 dB) using pre- and postoperative paired audiometric analysis.
  • Complete graft uptake occurred in 89.5% (N = 17) of patients, with anatomical success achieved in 78.9% (N = 15) and functional success in 84.2% (N = 16).
  • Postoperative air-bone gap improved statistically significantly compared to preoperative baseline values (p = 0.004).
  • Disrupted ossicular chains and the presence of cholesteatoma or tympanosclerosis were significantly associated with poorer outcomes (p < 0.001), while patient demographics and surgical approaches showed no significant effect.

Cite This Study

Naqi et al. (2026) studied this question.

synapsesocial.com/papers/6a8019a975c2e31742c85b0chttps://doi.org/10.7759/cureus.114479
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Also Consider

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