Comparative study of tympanoplasty type I using periosteum versus tragal cartilage with perichondrium

Background: Various grafting materials and different techniques have been used for myringoplasty. The aim of the study was to compare the result of tympanoplasty in patients with safe-type chronic suppurative otitis media using periosteum versus tragal cartilage with perichondrium grafts through pre- and postoperative clinical and audiological evaluation. Results: There was statistically significant difference for mean air-bone gap for group A (23.4 dB +/- 0.03 SD) when compared to group B (19.4 dB +/- 4.2 SD) with P value 0.103. Also, there was statistically significant difference in the hearing gain in group A after 6 months (25.53 dB +/- 6.26 SD) when compared to group B (19.63 dB +/- 9.76 SD) and the P value was 0.003. Graft taken was superior in the periosteal group (95%), compared to the cartilage grafts (90%). Conclusion: Tympanoplasty with periosteal graft showed better hearing results and high rates of graft taken than tragal cartilage grafts.