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Acta Oto-Laryngologica Volume 136, 2016 - Issue 11
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Review Article

Comparison of cartilage graft and fascia in type 1 tympanoplasty: systematic review and meta-analysis

Tao YangDepartment of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, PR China; ;Province Key Laboratory of Otolaryngology Critical Diseases, Xiangya Hospital, Central South University, Changsha, Hunan, PR China;
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Xuewen WuDepartment of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, PR China; ;Province Key Laboratory of Otolaryngology Critical Diseases, Xiangya Hospital, Central South University, Changsha, Hunan, PR China;
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Xiaofei PengDepartment of Rheumatology and Immunology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, PR China
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Yanni ZhangDepartment of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, PR China; ;Province Key Laboratory of Otolaryngology Critical Diseases, Xiangya Hospital, Central South University, Changsha, Hunan, PR China;
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Shaobing XieDepartment of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, PR China; ;Province Key Laboratory of Otolaryngology Critical Diseases, Xiangya Hospital, Central South University, Changsha, Hunan, PR China;
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Hong SunDepartment of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, PR China; ;Province Key Laboratory of Otolaryngology Critical Diseases, Xiangya Hospital, Central South University, Changsha, Hunan, PR China; Correspondence[email protected]
Pages 1085-1090 | Received 23 Feb 2016, Accepted 19 May 2016, Published online: 16 Jun 2016

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Fábio André Selaimen, Leticia Petersen Schmidt Rosito, Mauricio Noschang Lopes Silva, Alice Lang Silva, Valentina de Souza Stanham & Sady Selaimen Costa. (2021) Central versus marginal tympanic membrane perforations: does it matter? An analysis of 792 patients. Acta Oto-Laryngologica 141:2, pages 122-128.
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Zhengcai Lou. (2021) Endoscopic full-thickness cartilage-perichondrium double graft myringoplasty in adhesive perforation: retrospective case series. Acta Oto-Laryngologica 141:1, pages 14-18.
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Zhengcai Lou. (2020) Endoscopic myringoplasty in pediatric patients: a comparison of cartilage graft push-through and underlay fascia graft techniques. Acta Oto-Laryngologica 140:11, pages 893-898.
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Gian Antonio Bertoli, Marco De Vincentiis, Edoardo Covelli & Haitham H. Elfarargy. (2024) The novel retro-conchal approach for middle ear surgeries: Our experience in 196 patients. Acta Otorrinolaringológica Española 75:1, pages 40-46.
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Gian Antonio Bertoli, Marco De Vincentiis, Edoardo Covelli & Haitham H. Elfarargy. (2024) The novel retro-conchal approach for middle ear surgeries: Our experience in 196 patients. Acta Otorrinolaringologica (English Edition) 75:1, pages 40-46.
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Cemal Haci, Ozlem Bayram, Gokhan Gurbuz, Yagmur Barcan, Resit Murat Acikalin & Husamettin Yasar. (2023) Investigation of factors affecting pediatric type 1 endoscopic tympanoplasty results and success rates of surgery. Auris Nasus Larynx 50:6, pages 848-853.
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Ghassan Bin Lajdam, Rana A. Alahmadi, Mohammed Alhakami, Abdullah A. Ghaddaf, Ahmed S. Abdulhamid, Asma Alahmadi, Yassin Abdelsamad & Abdulrahman Hagr. (2023) Comparison of temporalis muscle fascia and cartilage grafts for primary type 1 tympanoplasty: a meta-analysis of randomized controlled trials. European Archives of Oto-Rhino-Laryngology 280:12, pages 5153-5165.
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Hajime Koyama, Akinori Kashio, Tsukasa Uranaka, Yu Matsumoto & Tatsuya Yamasoba. (2022) Application of Machine Learning to Predict Hearing Outcomes of Tympanoplasty. The Laryngoscope 133:9, pages 2371-2378.
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Eoin F. Cleere, Mel Corbett, Thomas J. Crotty, James Divilly & Ivan J. Keogh. (2023) Trans-canal tragal cartilage myringoplasty; a comparative analysis of endoscopic and microscopic approaches. The Surgeon 21:1, pages e42-e47.
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Nader Nassif, Lorenzo Bresciani, Tommaso Sorrentino & Luca Oscar Redaelli de Zinis. (2022) Tragus reimplant during endoscopic tympanoplasty in children: A prospective study of 27 cases. Clinical Otolaryngology 48:1, pages 75-78.
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José Faibes Lubianca Neto, João Pedro Neves Lubianca, Marcelo Neves Lubianca & Roland Douglas Eavey. 2023. Textbook of Otitis Media. Textbook of Otitis Media 567 583 .
Subhodha Hosagadde Rathnakara, Shilpa Ramachandra Raju, Rakshith Kumar & Gopalakrishna Hegde. (2022) Silk fibroin nanofiber scaffold (SFNS) as a graft material for myringoplasty- in vitro and in vivo. Materialia 26, pages 101562.
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Ejder Ciğer, Akif İşlek & Mustafa Yazır. (2021) The Wheel-Shaped Composite Cartilage Graft for Type 1 Tympanoplasty: Comparison with Palisade and Island Cartilage Graft. Indian Journal of Otolaryngology and Head & Neck Surgery 74:S3, pages 3806-3812.
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Salvatore Ferlito, Gianluca Fadda, Jerome Rene Lechien, Giovanni Cammaroto, Ricardo Bartel, Andrea Borello, Giovanni Cavallo, Francesca Piccinini, Ignazio La Mantia, Salvatore Cocuzza, Federico Merlino, Andrea Achena, Cristina Brucale, Quentin Mat, Stéphane Gargula, Nicolas Fakhry & Antonino Maniaci. (2022) Type 1 Tympanoplasty Outcomes between Cartilage and Temporal Fascia Grafts: A Long-Term Retrospective Study. Journal of Clinical Medicine 11:23, pages 7000.
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Kai Chen & Rui Zhao. (2022) Comparison of cartilage and temporalis fascia grafts in type 1 tympanoplasty: A meta-analysis. Ear, Nose & Throat Journal, pages 014556132211371.
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Deepakraj Venkatesan, Preethi Umamaheswaran, Ramkumar Vellikkannu, Senthil Kannan, Alagammai Sivaraman & Sriram Ramamurthy. (2021) A Comparative Study of Temporalis Fascia Graft and Full Thickness Tragal Island Cartilage Graft in Type 1 Tympanoplasty. Indian Journal of Otolaryngology and Head & Neck Surgery 74:S1, pages 619-623.
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José Faibes Lubianca Neto, Artur Koerig Schuster, João Pedro Neves Lubianca & Roland Douglas Eavey. (2022) Comparison of Inlay Cartilage Butterfly and Underlay Temporal Fascia Tympanoplasty. OTO Open 6:3.
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Sandro Barros Coelho, Willian da Silva Lopes, Gabriela de Andrade Meireles Bezerra, Davi Farias de Araújo, Adriano Sérgio Freire Meira & Sílvio da Silva Caldas Neto. (2022) Use of nasal mucosa graft in tympanoplasty. Brazilian Journal of Otorhinolaryngology 88:3, pages 345-350.
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Tarun Malhotra, Shymal Jha, Deep Kamal & Vaidehi Thakur. (2022) Tympanoplasty in high-risk perforation and atelectatic ear using perichondrium-cartilage island graft and temporalis fascia: A comparative analysis. Journal of Marine Medical Society 24:1, pages 24.
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Mahmoud S. Elfouly. (2021) Full thickness vs sliced mosaic cartilage graft in tympanoplasty: a comparative study. The Egyptian Journal of Otolaryngology 37:1.
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Mohamed M. Elmoursy & Mahmoud M. Elbahrawy. (2021) Comparative study of tympanoplasty type I using periosteum versus tragal cartilage with perichondrium. The Egyptian Journal of Otolaryngology 37:1.
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Isaac D. Erbele, Madelinn R. Fink, Gauri MankekarLeslie S. Son, Moisés A. Arriaga & Rahul Mehta. (2021) Endoscopic Over Under Cartilage Tympanoplasty Is Not Inferior to Underlay Cartilage Tympanoplasty. Otology & Neurotology Open 1:2, pages e005.
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Shankar Shah & Melville J. da Cruz. (2021) Composite gelfoam/fascia graft: a novel technique in tympanoplasty surgery. European Archives of Oto-Rhino-Laryngology 278:11, pages 4605-4606.
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Adrian L James. (2021) Totally endoscopic tympanic membrane repairTotale endoskopische Trommelfellrekonstruktion. HNO 69:10, pages 791-796.
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Zhengcai Lou. (2020) The Elevation of Tympanomeatal Skin Flap Could Not be Necessary for Endoscopic Cartilage Myringoplasty. Ear, Nose & Throat Journal 100:5_suppl, pages 781S-782S.
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İsa Kaya, Fetih Furkan Şahin, Hasan Tanrıverdi O & Tayfun Kirazlı. (2021) The new “cubism” graft technique in tympanoplasty: A randomized controlled trial. Laryngoscope Investigative Otolaryngology 6:3, pages 503-511.
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Pedro Salvador, Patrícia Gomes, Francisco Silva & Rui Fonseca. (2021) Type I Tympanoplasty: surgical success and prognostic factors. Acta Otorrinolaringológica Española 72:3, pages 182-189.
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Pedro Salvador, Patrícia Gomes, Francisco Silva & Rui Fonseca. (2021) Type I Tympanoplasty: surgical success and prognostic factors. Acta Otorrinolaringologica (English Edition) 72:3, pages 182-189.
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Murad Ghazi Ahmed, Said M. Said Aljaff & Hiwa Asaad Abdulkareem. (2020) Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft. Kurdistan Journal of Applied Research, pages 100-104.
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Antonia Lagos, Pablo Villarroel, Francisco García-Huidobro, Valentina Delgado, Bárbara Huidobro, Jorge Caro & José San Martín. (2020) Timpanoplastias: factores asociados al resultado anatómico y auditivo. Acta Otorrinolaringológica Española 71:4, pages 219-224.
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Antonia Lagos, Pablo Villarroel, Francisco García-Huidobro, Valentina Delgado, Bárbara Huidobro, Jorge Caro & José San Martín. (2020) Tympanoplasty: factors associated with anatomical and audiometric results. Acta Otorrinolaringologica (English Edition) 71:4, pages 219-224.
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Kadir Özdamar & Alper Sen. (2020) Comparison of temporal muscle fascia and tragal cartilage perichondrium in endoscopic type 1 tympanoplasty with limited elevation of tympanomeatal flap. Brazilian Journal of Otorhinolaryngology 86:4, pages 483-489.
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Zheng cai Lou. (2020) Endoscopic myringoplasty: Comparison of double layer cartilage-perichondrium graft and single fascia grafting. Journal of Otolaryngology - Head & Neck Surgery 49:1.
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Alper Şen & Kadir Özdamar. (2019) Endoscopic tympanoplasty with limited tympanomeatal flap elevation in pediatric cases: comparison of anatomic and audiological results of grafts. European Archives of Oto-Rhino-Laryngology 276:9, pages 2427-2432.
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Mohamed M. El-Sheikh. (2019) Evaluation of hearing outcome of tympanoplasty using cartilage graft versus temporalis fascia graft. The Egyptian Journal of Otolaryngology 35:1, pages 1-5.
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Ines Ben Hassen. (2018) Eagle syndrome imaging: a case report. Journal of Otolaryngology-ENT Research 10:5.
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Ahmed Mahmoud El Batawi, Mostafa A El Taher & Mohamed Abd Elmottaleb Sabaa. (2018) Tympanic membrane grafting, underlay periosteal versus inlay cartilage grafts: a comparative study. Journal of Otolaryngology-ENT Research 10:5.
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Mir Mohammad Jalali, Masoud Motasaddi, Ali Kouhi, Sasan Dabiri & Robabeh Soleimani. (2016) Comparison of cartilage with temporalis fascia tympanoplasty: A meta‐analysis of comparative studies. The Laryngoscope 127:9, pages 2139-2148.
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Emre OCAK, Süha BETON, Vedat TAŞ & Cem MEÇO. (2017) Cartilage reinforcement graft versus fascia graft in tympanoplasty*. TURKISH JOURNAL OF MEDICAL SCIENCES 47, pages 1124-1127.
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Caroline C. Jeffery, Cameron Shillington, Colin Andrews & Allan Ho. (2017) The palisade cartilage tympanoplasty technique: A systematic review and meta-analysis. Journal of Otolaryngology - Head & Neck Surgery 46:1.
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