Platelet Rich Fibrin Augmented Tympanoplasty Versus Cartilage Tympanoplasty

NCT ID: NCT05967845

Last Updated: 2023-08-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2022-12-31

Brief Summary

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This study was performed to compare healing and hearing outcomes of two tympanoplasty techniques, performed for patients with total or subtotal tympanic membrane perforations. The first group underwent temporalis fascia tympanoplasty, augmented with platelet rich fibrin, while the second group underwent cartilage tympanoplasty. preoperative data, operative techniques, and postoperative outcomes were analyzed.

Detailed Description

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Two groups are included. In the platelet rich fibrin augmented tympanoplasty group, a piece of temporalis fascia is harvested and used as a graft material. A layer of platelet rich fibrin is added to improve healing process. In the cartilage tympanoplasty group, a piece of cartilage is harvested from the patient concha and used for grafting. Both groups will be compared in terms of healing and hearing. Healing is considered successful if an intact tympanic membrane is achieved withing 12 weeks follow up period. Hearing outcomes are analyzed by comparing the preoperative pure tone audiometry values with the postoperative values.

Conditions

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Chronic Suppurative Otitis Media

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Platelet rich fibrin augmented tympanoplasty

Platelet rich fibrin will be prepaired from the patient's own blood throud a centrifugation process and will be applied on the temproalis fascia graft to improve healing.

Group Type ACTIVE_COMPARATOR

platelet rich fibrin augmented tympanoplasty

Intervention Type PROCEDURE

platelet rich fibrin augmented tympanoplasty entails performing the traditional tympanoplasty using the tempralis fascia as a grafting material. However, platelet rich fibrin clot is obtained from the patient's own blood, and applied to the graft to enhance healing process.

cartilage tympanoplasty

A piece of cartilage will be harvested from the concha and used as a graft for tympanoplasty

Group Type ACTIVE_COMPARATOR

cartilage tympanoplasty

Intervention Type PROCEDURE

cartilage tympanoplasty procedure entails repairing the tympanic membrane perforation by using a piece of cartilage harvested from the patient's auricle.

Interventions

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cartilage tympanoplasty

cartilage tympanoplasty procedure entails repairing the tympanic membrane perforation by using a piece of cartilage harvested from the patient's auricle.

Intervention Type PROCEDURE

platelet rich fibrin augmented tympanoplasty

platelet rich fibrin augmented tympanoplasty entails performing the traditional tympanoplasty using the tempralis fascia as a grafting material. However, platelet rich fibrin clot is obtained from the patient's own blood, and applied to the graft to enhance healing process.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adults patients older than 18 years.
* Chronic suppurative otitis media mucosal type with total or subtotal perforation.
* Inactive for 3 months.

Exclusion Criteria

* Recurrent perforation after previous tympanoplasty.
* Active inflammation of middle ear.
* Chronic suppurative otitis media epithelial type.
* Ossicular disruption or fixation diagnosed intraoperatively.
* Immunocompromised patients including uncontrolled diabetics, chronic liver and kidney diseases.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mansoura University

OTHER

Sponsor Role lead

Responsible Party

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Hisham Ebada

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hisham A Ebada, MD

Role: PRINCIPAL_INVESTIGATOR

Mansoura University

Locations

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Mansoura University faculty of Medicine

Al Mansurah, Dakahlia Governorate, Egypt

Site Status

Countries

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Egypt

References

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Venkatesan D, Umamaheswaran P, Vellikkannu R, Kannan S, Sivaraman A, Ramamurthy S. A Comparative Study of Temporalis Fascia Graft and Full Thickness Tragal Island Cartilage Graft in Type 1 Tympanoplasty. Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):619-623. doi: 10.1007/s12070-021-02459-2. Epub 2021 Feb 19.

Reference Type RESULT
PMID: 36032890 (View on PubMed)

Jain A, Samdani S, Sharma MP, Meena V. Island cartilage vs temporalis fascia in type 1 tympanoplasty: A prospective study. Acta Otorrinolaringol Esp (Engl Ed). 2018 Nov-Dec;69(6):311-317. doi: 10.1016/j.otorri.2017.10.004. Epub 2018 Mar 22. English, Spanish.

Reference Type RESULT
PMID: 29576202 (View on PubMed)

Gokce Kutuk S, Ozdas T. Impact of platelet-rich fibrin therapy in tympanoplasty type 1 surgery on graft survival and frequency-specific hearing outcomes: a retrospective analysis in patients with tympanic membrane perforation due to chronic otitis media. J Laryngol Otol. 2019 Dec;133(12):1068-1073. doi: 10.1017/S0022215119002391. Epub 2019 Nov 18.

Reference Type RESULT
PMID: 31735178 (View on PubMed)

Other Identifiers

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MS.19.04.576

Identifier Type: -

Identifier Source: org_study_id

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