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Abstract
Introduction: Fascia temporalis is the most commonly used graft in tympanoplasty type 1. Our study describes the composite grafts with temporal fascia and cartilage. It aims to report our anatomical and functional results with this technique.
Patients and Method: This is a retrospective study conducted between January 2017 and December 2020 in the ENT department of the Diamniadio Children's Hospital (SENEGAL).
Results: There were 37 patients, consisting of 19 girls and 18 boys in the age group of 7-15 years. Thirty-two tympanic perforations were sequelae of chronic otitis media, and 5 were post-traumatic. All patients underwent tympanoplasty type 1 under general anesthesia with a retroauricular approach with combined use of fascia temporalis and cartilage. The percentage of graft intake was 89%, and the average gain in air conduction was 12 decibels.
Conclusion: In our clinical practice, the combined use of cartilage and fascia temporalis provides good anatomical and functional results in pediatric type 1 tympanoplasty.