Temporalis Fascia Versus Areolar Temporalis Fascia in Type 1 Tympanoplasty: A Randomized Comparative Study

To study outcome of various autologous grafts used in cases of type-1 tympanoplasty. To compare between temporalis Fascia and areolar temporalis Fascia (Fool's Fascia) used as a graft materials in type-1 tympanoplasty.Tympanoplasty is the commonest surgery of the middle ear carried out to improve hearing in patients with conductive hearing loss. Wullstein first coined the term tympanoplasty in 1953(1). Myringoplasty or type 1 tympanoplasty is an operation for reconstruction of a tympanic membrane perforation. Type I tympanoplasty refers to restoration normal anatomy of middle ear. Although the different graft materials are being used for closure of tympanic membrane perforation the most ideal material is unknown yet. Of the autologous materials, temporals Fascia is the most frequently used for all perforations due to its easy availability, the abundance of tissue. Various other autologous materials have been used. They are either locally accessible such as periosteum, perichondrium either alone or with attached cartilage, subcutaneous tissue, skin from the external auditory canal (EAC) or elsewhere and also the fat. The fat is harvested usually from ear lobule or post auricular region though it can be from any other site. Fascia lata and vein are distantly located autograft.&nbsp