In our series, graft consisted of nasal mucosa (60%) and septal cartilage
(40%) which was fixed with fibrin glueIn all the patients' nasal packing remained post-operatively for 2.3 days on average.
It is in the light of above controversy to find the ideal graft material for tympanoplasty that this study intends to find out better graft between the use of nasal septal cartilage
and cortical mastoid bone in Farrior's type 3 tympanoplasty after canal wall down mastoidectomy in terms of hearing improvements and graft status.
Septal perforation due to excessive bleeding makes it difficult to separate the mucosa of the septal cartilage
and bony portion of the nasal septum.
Other preferred graft is septal cartilage
if rib is not harvested.
The septal cartilage
was detached from the maxillary crest and vomer.
Then 0.5 cm inferior strip of septal cartilage
was removed from the incision side to the perpendicular plate of ethmoid to achieve the correction of septum and any bony spur over maxillary crest or vomer was also removed with the help of cheisel and mallet or hammer.
We conducted a study to examine the viability, host response, and volume retention characteristics of drilled human septal cartilage
slurry when injected into an athymic nude mouse model.
(3) The aims of our study are; to evaluate the effectiveness of septal cartilage
as a graft material for augmenting nasal dorsum, comparing results of autograft and allograft septal cartilage
, analyzing functional and cosmetic result.
The traditional extracorporeal septoplasty technique as described by Gubisch in 1995 suggested explant of all of the septal cartilage
. (5) This technique was then modified by Most to maintain a 1.0- to 1.5-cm dorsal cartilagenous strut in the anterioposterior dimension.
The septal cartilage
was then sharply scored and incised, leaving at least 1 cm of caudal and dorsal septum for nasal tip support.
The nasal septum is composed of the os vomer, the crests of the palatine and maxillary bones, the perpendicular lamina of the ethmoid bone, and quadrilateral septal cartilage
. (1) Defects in the nasal septum can be caused by many different factors; among them are tuberculosis, irritation, neoplasia, trauma, infection, and chronic inflammatory diseases such as syphilis and Wegener granulomatosis.
In this study, we have included only those cases where autogenous cartilage (conchal), autogenous bone (incus remnant) and homograft cartilage (septal cartilage
) was used between