Introduction: Tympanoplasty is a tissue transference procedure to reconstruct the tympanic membrane perforation inline of chronic otitis media. Cartilage graft and temporal fascia graft are reliable methods for tympani membrane reconstruction. The aim of this study was to compare the temporalis fascia graft versus sliced tragal cartilage graft for type-1 tympanoplasty. Material and Methods: A source of forty-eight participants with safe type chronic otitis media aged between 14 to 60 years were included. Study participants were randomly divided into group 1 or cartilage group and group 2 or fascia group were undergone mastoidectomy with type 1 tympanoplasty or type 1 tympanoplasty alone. Postoperative follow-up was done at 1st week, 3rd week and 3rd month and pure tone audiometry was conducted to check the hearing gain. Results: The hearing gain was 9.42 dB in group 1 and 5.64dB in group 2. The mean difference was statistically not significant between study groups (p>0.05). One case in each group showed retraction and 12.5% and 29.17% of cases showed reperforation in type-1 tympanoplasty alone and type-1 tympanoplasty with CM respectively. Conclusion: The temporal fascia graft and sliced tragal cartilage graft are effective for type 1 tympanoplasty. However, type 1 tympanoplasty with sliced cartilage graft have showed better hearing gain than temporal fascia graft.

Introduction: Tympanoplasty is a tissue transference procedure to reconstruct the tympanic membrane perforation inline of chronic otitis media. Cartilage graft and temporal fascia graft are reliable methods for tympani membrane reconstruction. The aim of this study was to compare the temporalis fascia graft versus sliced tragal cartilage graft for type-1 tympanoplasty. Material and Methods: A source of forty-eight participants with safe type chronic otitis media aged between 14 to 60 years were included. Study participants were randomly divided into group 1 or cartilage group and group 2 or fascia group were undergone mastoidectomy with type 1 tympanoplasty or type 1 tympanoplasty alone. Postoperative follow-up was done at 1st week, 3rd week and 3rd month and pure tone audiometry was conducted to check the hearing gain. Results: The hearing gain was 9.42 dB in group 1 and 5.64dB in group 2. The mean difference was statistically not significant between study groups (p>0.05). One case in each group showed retraction and 12.5% and 29.17% of cases showed reperforation in type-1 tympanoplasty alone and type-1 tympanoplasty with CM respectively. Conclusion: The temporal fascia graft and sliced tragal cartilage graft are effective for type 1 tympanoplasty. However, type 1 tympanoplasty with sliced cartilage graft have showed better hearing gain than temporal fascia graft.