Vishnu Kumar
Dubai, Aster Hospital, UAETitle : Comparative study of use of dry and wet temporalis fascia graft in type-1 tympanoplasty
Abstract
Background: Tympanoplasty
is a procedure to eradicate disease in the middle ear and to reconstruct the
hearing mechanism.
Objectives: To assess the
graft placement time, surgical and audiological improvement and to estimate the
fibroblast count in dry and wet temporalis fascia.
Materials & methods:
Out of 50 patients, two groups comprising of 25 patients each underwent type 1
tympanoplasty using dry and wet graft respectively. A comparative analysis was
done on the graft placement time, fibroblast count and hearing improvement
postoperatively between the two groups.
Results: Complete graft
uptake was seen in 96% patients in Wet graft group and 100% patients in Dry
graft group. Majority of wet grafting was done within 10-12 minutes compared to
dry grafting which was done within 3-6 minutes. Even though Fibroblast count
was increased in wet graft tissue (88%) when compared with dry graft tissue
(52%), surgical outcomes were similar for dry and wet grafting. We observed
that there was statistically insignificant difference between the success rates
of graft up take and hearing improvement on both groups.
Conclusion: There is equal
success rates, in terms of graft up take and hearing improvement, whether it is
dry or wet temporalis fascia grafting, but Graft placement time will be less in
dry grafting as compared to wet grafting.
Biography
Vishnu Kumar is Specialist ENT
Head & Neck Surgeon with over 5 years of experience working at Aster
Hospital UAE. He is highly competent in handling ENT outpatient and inpatient
care and emergency and elective surgeries. He follows strong evidence-based methodology
in treatment and adheres to strict protocols and guidelines in patient care. He
has performed many endoscopic skull base and sinus surgeries, CSF Leak repairs,
balloon sinuplasty surgeries, micro ear surgeries, hearing improvement
surgeries, LASER/Coblation assisted surgeries, surgery for snoring disorders
and obstructive sleep apnoea. He has secured his MBBS from Manipal University-
Kasturba Medical College, Manipal and post-graduation in ENT, Head and Neck
Surgery from the renowned Sri Siddhartha University, Tumkur. Thereafter, he had
a challenging stint at the renowned Govt Medical College Kottayam,
Kerala. Worked as Assistant Professor in Dept of ENT at Mahatma Gandhi
Medical College & Research Institute, Pondicherry, Tamil Nadu before making
the move to the UAE.