Hostname: page-component-6766d58669-zlvph Total loading time: 0 Render date: 2026-05-20T01:42:52.364Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of tragal perichondrium with cubism graft in endoscopic tympanoplasty in small- to medium-size tympanic membrane perforations

Published online by Cambridge University Press:  14 November 2024

Nehal Lal Open the ORCID record for Nehal Lal [Opens in a new window]
Nehal Lal*
Affiliation:
Department of ENT & Head and Neck Surgery, Maulana Azad Medical College, New Delhi, India
*
Corresponding author: Nehal Lal; Email: Nehallal.nl@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Cubism graft technique offers controlled thinning of the cartilage and prevents over-curling. This article compares tragal perichondrium with the new cubism graft in tympanoplasty in small- to medium-size tympanic membrane perforations.

Methodology

In our study, we included 40 patients, where tragal perichondrium was used as a graft in 20 patients, while cubism graft with tragal cartilage was used in the other 20 patients.

Results

Only two patients had a failure in graft uptake in the tragal perichondrium group, while three patients had a failure in graft uptake in the group where cubism graft with tragal cartilage was used. Significant closure of the air-bone gap (≥ 9 dB) was observed in post-operative audiogram at three-month follow-up in both groups.

Conclusion

This study concludes that the new cubism graft is comparable to tragal perichondrium graft in terms of graft uptake and closure of the air-bone gap.

Keywords

Cubism graftPlatelet-rich fibrinTragal perichondriumChronic otitis mediaTympanoplasty

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 7 , July 2025 , pp. 577 - 581
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Wallis, S, Atkinson, H, Coatesworth, AP. Chronic otitis media. Postgrad Med J 2015;127:391–5CrossRefGoogle ScholarPubMed
Gulya, AJ, Minor, LB, Poe, DS, Glasscock-Shambaugh Surgery of the Ear. New Delhi: CBS Publishers & Distributors, 2012.Google Scholar
Sood, AS, Pal, P, Singla, A. Comparative study of type I tympanoplasty using temporalis fascia and tragal cartilage with perichondrium as graft material. Int J Otorhinolaryngol Head Neck Surg 2018;4:789–93CrossRefGoogle Scholar
Yung, M. Cartilage tympanoplasty: Literature review. J Laryngol Otol 2008;122: 663–72CrossRefGoogle ScholarPubMed
Ozbek, C, Çiftçi, O, Tuna, EE, Ö, Yazkan, Ozdem, C. A comparison of cartilage palisades and fascia in type 1 tympanoplasty in children: Anatomic and functional results. Otol Neurotol 2008;29: 679–83CrossRefGoogle ScholarPubMed
Kolethekkat, AA, Al, Abri R, Al, Zaabi K, et al. Cartilage rim augmented fascia tympanoplasty: A more effective composite graft model than temporalis fascia tympanoplasty. J Laryngol Otol 2018;132: 497–504CrossRefGoogle ScholarPubMed
Jalali, MM, Motasaddi, M, Kouhi, A, Dabiri, S, Soleimani, R. Comparison of cartilage with temporalis fascia tympanoplasty: A meta‐analysis of comparative studies. Laryngoscope 2017;127: 2139–48CrossRefGoogle ScholarPubMed
Yadav, SPS, Malik, JS, Malik, P, Sehgal, PK, Gulia, JS, Ranga, RK. Studying the result of underlay myringoplasty using platelet-rich plasma. J Laryngol Otol 2018;132: 990–4CrossRefGoogle ScholarPubMed
Kaya, İ, Şahin, FF, Tanrıverdi, OH, Kirazlı, T. The new ‘cubism’ graft technique in tympanoplasty: A randomized controlled trial. Laryngoscope Investig Otolaryngol 2021;6: 503–11CrossRefGoogle ScholarPubMed
Tiple, C, Chirila, M, Vesa, SC, Stamate, MC. Plasma–Rich Fibrin–Regenerative Material in Tympanic Membrane Surgery. Medicina 2023;59: 1292CrossRefGoogle ScholarPubMed
Parelkar, K, Thorawade, V, Marfatia, H, Shere, D. Endoscopic cartilage tympanoplasty: Full thickness and partial thickness tragal graft. Braz. J Otorhinolaryngol 2020;86: 308–14CrossRefGoogle ScholarPubMed
Rana, AK, Sharma, R, Sharma, VK, Mehrotra, A, Upadhyay, D. Intraoperative tragal and conchal cartilage thickness: Comparative study for cartilage tympanoplasty. Am J Otolaryngol 2020;41: 102690CrossRefGoogle ScholarPubMed
Smith, RG, Gassmann, CJ, Campbell, MS. Platelet–rich plasma: Properties and clinical applications; J Lanc Gen Hosp 2007;2: 73–7Google Scholar
Shukla, A, Kaurav, YS, Vatsyayan, R. Novel Use of Platelet Rich Fibrin Membrane in Transcanal Myringoplasty: A Prospective Study. Indian Otolaryngol Head Neck Surg 2020;72:355–62CrossRefGoogle ScholarPubMed