Does cartilage thickness affect hearing results in real life? long‐term results of cartilage and fascia graft in type 1 tympanoplasty
M. Tayyar Kalcioglu  Ozan Tuysuz  Muhammed Zeki Yalcın  Erkan Karatas
First published: 31 May 2019 https://doi.org/10.1111/coa.13383
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/coa.13383
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Abstract
Cartilage is one of the frequently used graft material for tympanoplasty. However, it is discussed that the thickness of cartilage may have a negative effect on hearing.

The auditory gains in the cases using cartilage and fascia graft were studied in the early and mid‐term results and it was reported that the graft materials were similar in both subjects. However, the data after the long follow‐up period should be evaluated in order to discuss the permanent result.

The long‐term hearing results of patients who underwent primary type 1 tympanoplasty operation using cartilage or temporal muscle fascia were evaluated in the current study.

In the study, the auditory gains in the cartilage tympanoplasty group were found to be as successful as the fascia tympanoplasty group, in the long follow‐up.

It is thought that having a better auditory gain in spite of the thicker structure of the cartilage causes the surgeon to provide direct connection of malleus with perichondrium by exiling a cartilage tape from the area that corresponds to the malleus.

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