Journal articles on the topic 'El tragaluz'

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1

Purvis, Gabriela Laura. "Lectura crítica de Avedoy, T. (2021). Manifiesto poético-político por la investigación de-en la biblioteca pública. Ciudad de México: Tragaluz." Palabra Clave (La Plata) 12, no. 1 (October 3, 2022): e176. http://dx.doi.org/10.24215/18539912e176.

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2

Salkjelsvik, Kari S. "Recortar Historia: El Tragaluz De Buero Vallejo." Neophilologus 90, no. 2 (April 2006): 235–48. http://dx.doi.org/10.1007/s11061-005-4246-x.

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3

OKAMOTO, Junko. "Memoria e Historia en El tragaluz de Antonio Buero Vallejo." HISPANICA / HISPÁNICA 2005, no. 49 (2005): 117–33. http://dx.doi.org/10.4994/hispanica1965.2005.117.

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4

Richardson, Bill. "'A wound that cries out': Trauma and Collective Identity in Buero Vallejo's El tragaluz." Bulletin of Hispanic Studies 83, no. 1 (January 2006): 45–60. http://dx.doi.org/10.3828/bhs.83.1.4.

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5

Lara Martínez, Rafael. "De la gramática náhuat-pipil, lengua salvadoreña bajo tachón." Entorno, no. 58 (September 27, 2018): 42–56. http://dx.doi.org/10.5377/entorno.v0i58.6241.

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Recoger (ta-pixka), recolectar, atar en griego se dice legein. El enlace, tal es el logos. Es el lenguaje, cuya religió ajusta la atadura mágica, los fajos, todo lo que relaciona los objetos dispersos a una sola palabra. Su antónimo es el análisis que separa y distingue. Por ello, si la poesía es la síntesis que enlaza oraciones entre sí, la lingüística es la antítesis disolvente que las disgrega. La primera muestra el tragaluz abierto al día soleado; la otra demuestra la ventana cerrada ante la noche de luna en reposo. Si en Goya “los sueños de la razón producen monstruos” literarios, en el siglo XXI las siestas de la poesía engendran fórmulas lógicas. Hay dos “Artes muy curiosas de la lengua” que obran a contrapunto: poesía y lingüística. Traducción apócrifa de Pascal Quignard (14).Entorno, abril 2015, número 58: 42-56
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6

Guzmán, Alison. "Los albores de la meta-memoria histórica en el teatro español." Revista Canadiense de Estudios Hispánicos 40, no. 1 (September 10, 2015): 133–55. http://dx.doi.org/10.18192/rceh.v40i1.1601.

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Sirviéndome de las teorías de Jacques Derrida, Cathy Caruth, Linda Hutcheon, Jan Assman y Pierre Nora, entre otros, examino las maneras en las cuales tres dramaturgos de distintas realidades – un autor consagrado, Antonio Buero Vallejo; un joven prometedor, Jerónimo López Mozo; y un exiliado, José Antonio Rial – dieron pie a lo que denomino la meta-memoria histórica: la confrontación manifiesta y el cuestionamiento teatral de las divergencias, sombras y verdades polifacéticas asociadas con las memorias colectivas simultáneas y posteriores a la Guerra Civil española. Concretamente, los dramaturgos utilizan la memoria explícita – expresada mediante la anacronía, la metateatralidad, y/o el recurso a personajes que son muertos vivientes –, con el fin de resaltar la continua reconstrucción de la historia colectiva. En las postrimerías del franquismo, sus tres piezas respectivas, El tragaluz (1967), Guernica (1969) y La muerte de García Lorca (1969), entablan un diálogo intertextual, fragmentado e indeterminado entre el pasado y el presente. Estas tres obras auguran una estética que cobra cada vez más relieve en el teatro español, a medida que se ha ido tanteando dicho pasado traumático en España durante las últimas cuatro décadas.
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7

Wiesse, Jorge. "SEARCH, Alexander, autor ficcional de Fernando Pessoa, 2014, Un libro muy original. A Very Original Book, edición bilingüe y notas de Natalia Jerez Quintero; A Very Original Dinner, traducción de Diego García Sierra; Medellín, Tragaluz. 239 pp." Apuntes: Revista de Ciencias Sociales 42, no. 77 (2015): 205–8. http://dx.doi.org/10.21678/apuntes.77.749.

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8

Lazarević, Milijana, and Marija Malović. "Praksa kupovine dečijih igračaka iz ugla odraslih." Research in Pedagogy 11, no. 1 (2021): 278–96. http://dx.doi.org/10.5937/istrped2101278l.

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Ovaj rad bavi se istraživanjem praksi kupovine igračaka za decu kroz prizmu promišljanja o ulozi igračaka u učenju i razvoju dece i uticaju komercijalizacije detinjstva na ponudu i odabir igračaka kojima će se deca igrati sa fokusom na preispitivanje uloge odraslih u oblikovanju dečjeg okruženja za igru posredstvom igračaka. U radu je predstavljeno istraživanje eksplorativnog karaktera sprovedeno putem online ankete na uzorku od 112 učesnika sa ciljem sagledavanja i opisivanja prakse kupovine dečjih igračaka od strane odraslih. Istraživanje je tragalo za odgovorom na pitanje šta određuje praksu kupovine igračaka za decu, kao i koji su to elementi prakse kupovine igračaka za decu koji utiču na izbor prilikom kupovine. Rezultati pokazuju da odrasli često kupuju igračke za decu (60% učesnika istraživanja ih kupuje jednom u tri meseca ili češće). Kao najčešći povod za kupovinu igračaka izdvajaju se dečji rođendani. Iako odrasli kupuju igračke sa namerom da one dugo traju i da se nasleđuju (34%), u praksi se deca njima najčešće igraju par meseci (31%) ili tek neposredno nakon što igračku dobiju (25%). U potrazi za dobrom igračkom za decu odrasli tragaju za onom koja će na prvom mestu detetu biti zanimljiva, ali i onom koja će podržavati kreativni pristup igri i podsticati dečji razvoj i učenje.
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9

Rabie, Amr N., Jerry Chang, Ahmed M. S. Ibrahim, Bernard T. Lee, and Samuel J. Lin. "Use of Tragal Cartilage Grafts in Rhinoplasty: An Anatomic Study and Review of the Literature." Ear, Nose & Throat Journal 94, no. 4-5 (April 2015): E44—E49. http://dx.doi.org/10.1177/014556131509404-503.

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We conducted a cadaveric study to determine the size of cartilage grafts that can be taken from the tragus without distorting tragal anatomy. Our subjects included 7 fresh cadavers—3 male and 4 female (age at death: 61 to 87 yr). Tragal cartilage grafts were harvested while leaving the lateral 3 mm of the tragal cartilage in situ to preserve the anatomic shape of the tragus. The grafts were measured and their dimensions recorded. The craniocaudal dimensions of the tragal cartilages ranged from 15 to 30 mm (mean: 21.6), and the width of each specimen ranged from 10 to 23 mm (mean: 15.3). The thickness of the cartilage was approximately 1 mm. The grafts were slightly curved along their long axis. We also review the literature regarding the dimensions of different grafts used in rhinoplasty, knowledge of which can help in preoperative planning. Tragal cartilage grafts have been used as shield, alar contour, alar batten, lateral crural onlay, dorsal onlay, and infratip lobule grafts. When a straight and/or thick graft is needed, two strips of tragal cartilage can be sutured in a mirror-image configuration.
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10

Pothier, D. D., and N. Charaklias. "Tragal cartilage harvesting and ‘in the ear’ earphones: a pilot study." Journal of Laryngology & Otology 120, no. 9 (August 15, 2006): 1–3. http://dx.doi.org/10.1017/s0022215106002635.

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‘In the ear’ headphones are held in position by the cartilaginous skeleton of the pinna. The tragus is an important part of this skeleton and plays a significant role in holding these devices in place. We designed a retrospective case–control study to determine whether the harvesting of tragal cartilage had any effect on the ability to wear ‘in the ear’ earphones. Fifty patients who had undergone ear surgery requiring harvesting of tragal cartilage, along with 50 age-matched controls who had undergone similar procedures without tragal cartilage harvesting, were sent a questionnaire about their experiences with ‘in the ear’ earphones both pre- and post-operatively. Ten of the 12 patients in the tragal harvesting group who had used earphones pre- and post-operatively had had problems with earphones post-operatively, which in eight cases were due to pain or the devices falling out. Of the 12 respondents in the non-tragus group, only one had similar problems (p<0.05). Tragal harvesting may affect the ability of patients to wear certain types of headphones post-operatively and this should be discussed pre-operatively with the patient.
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11

Huang, ZhengHua, and Qi Li. "Tragal remnant flap reconstruction method for congenital tragal malformation in children." International Journal of Pediatric Otorhinolaryngology 157 (June 2022): 111144. http://dx.doi.org/10.1016/j.ijporl.2022.111144.

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12

Sood, Arvinder Singh, Pooja Pal, and Anshul Singla. "Comparative study of type I tympanoplasty using temporalis fascia and tragal cartilage with perichondrium as graft material." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 3 (April 26, 2018): 789. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181873.

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<p class="abstract"><strong>Background:</strong> Temporalis fascia and cartilage are the most commonly used graft materials, though contradictory reports are available in literature as regards their efficacy. The purpose of this study was to compare graft acceptance and auditory outcomes of tympanoplasty using cartilage versus temporalis fascia as graft material.</p><p class="abstract"><strong>Methods:</strong> This prospective study included 40 consecutive cases of chronic otitis media in a tertiary care centre randomised in two groups of 20 patients each to be subjected to tympanoplasty using either tragal cartilage-perichondrium or temporalis fascia graft from January 2011 to November 2012. Graft uptake rates and subjective as well as objective hearing improvement at 2 months and 6 months postoperative follow-up were compared. </p><p class="abstract"><strong>Results:</strong> The mean age of presentation was 34.4 years (range 15-60 years). At 2 months post operatively, the graft uptake was better with tragal cartilage group (95%) than temporalis fascia (90%), while at the end of 6 months graft uptake was better with temporalis fascia (75%) compared to tragal cartilage (70%). Hearing improvement was better for tragal cartilage group compared to the temporalis fascia group at both 2 months and 6 months follow-up. The subjective improvement in hearing at the end of 6 months was also better for tragal cartilage- perichondrium group than the temporalis fascia group.</p><p class="abstract"><strong>Conclusions:</strong> Both temporalis fascia and tragal cartilage–perichondrium are suitable graft materials for tympanoplasty. Graft uptake was superior with temporalis fascia, while hearing improvement was better with tragal cartilage- perichondrium, although the results were not statistically significant.</p><p class="abstract"> </p>
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13

Khan, M. M., and S. R. Parab. "Average thickness of tragal cartilage for slicing techniques in tympanoplasty." Journal of Laryngology & Otology 129, no. 5 (April 10, 2015): 435–39. http://dx.doi.org/10.1017/s0022215115000055.

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AbstractBackground:Cartilage-perichondrial grafts are often used for tympanic membrane and middle-ear reconstructions. Tragal and conchal cartilages are most frequently used for this purpose. Studies have shown that slicing the cartilage to less than 0.5 mm thickness improves acoustic benefit. However, the thickness of the cartilage in a given population may not be uniform.Objective:This descriptive cross-sectional study aimed to determine the average thickness of tragal cartilage (in terms of age and sex) in an Indian population.Method:A prospective study of 61 tragal cartilages harvested during serial tympanoplasty and modified radical mastoidectomy were analysed according to thickness.Results:The total average thickness of tragal cartilage was 1.228 ± 0.204 mm in males and 1.090 ± 0.162 mm in females. The overall thickness was 1.018 ± 0.139 mm in those aged less than 15 years, 1.139 ± 0.238 mm in those aged 15–30, and 1.189 ± 0.155 mm in those aged over 30 years.Conclusion:The findings help us to determine age-related cartilage thickness for slicing techniques in tympanoplasty.
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14

Mendoza, Daniel Jose C., Samantha S. Castañeda, and Antonio H. Chua. "Intraoperative Distance Between the Main Trunk of the Facial Nerve and Surgical Landmarks Used in Parotidectomy: A Prospective Study." Philippine Journal of Otolaryngology-Head and Neck Surgery 29, no. 1 (June 25, 2014): 16–19. http://dx.doi.org/10.32412/pjohns.v29i1.453.

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Objective: to determine the mean distance of the main trunk of the facial nerve from two commonly employed surgical landmarks (tragal pointer and tympanomastoid suture line) among a sample of Filipino adults undergoing parotidectomy. Methods Study Design: Prospective Descriptive Study Setting: Tertiary Government Training Hospital Subjects: 22 patients without facial paralysis undergoing surgery for parotid neoplasms were evaluated intraoperatively. Results: The main trunk of the facial nerve was found to be 9.0mm (standard deviation of 2.8mm) from the tragal pointer and 6.1mm (standard deviation of 2.0mm) from the tympanomastoid suture line. Conclusion: The mean distance from the main trunk of the facial nerve to two of the most commonly utilized landmarks in identification of the nerve during parotidectomy was 9.0mm (standard deviation of 2.8mm) from the tragal pointer and 6.1mm (standard deviation of 2.0mm) from the tympanomastoid suture line. These may serve as reference values for surgeons in safer identification and preservation of the facial nerve during parotidectomy. Keywords: facial nerve, parotidectomy, tragal pointer, tympanomastoid suture line, anatomic landmarks
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Al-Rowaily, Saud L., Dekhil H. Al-Dosari, Abdulaziz M. Assaeed, Ahmed M. Abd-ElGawad, Mohamed A. El-Sheikh, Magdy I. El-Bana, and Wafa’a A. Al-Taisan. "Native Perennial Plants Colonizing Abandoned Arable Fields in a Desert Area: Population Structure and Community Assembly." Agriculture 10, no. 11 (November 15, 2020): 550. http://dx.doi.org/10.3390/agriculture10110550.

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In recent years, the phenomenon of abandonment of arable fields has increased in Saudi Arabia due to low soil fertility, drought, low rainfall, high levels of evapotranspiration, soil salinization, and low level of groundwater. We evaluated the effect of agricultural land abandonment on soil properties, perennial vegetation composition, and population structure in the Al-Kharj region, Saudi Arabia. A total of 11 perennial plant species belonging to 9 families and 11 genera were detected in the different abandoned fields of the study area. Four plant communities were identified after the application of the detrended correspondence analysis (DCA) ordination. The indicator species were (1) Seidlitzia rosmarinus—Zygophyllum hamiense, (2) Traganum nudatum—Seidlitzia rosmarinus, (3) Traganum nudatum—Prosopis farcta, and (4) Calligonum comosum—Pulicaria undulata. Results of the soil analysis showed significant differences in soil texture, pH, salinity, and nutrient content among the four recognized plant communities. Demographic analysis indicated that populations of Zygophyllum hamiense and Calligonum comosum tended to be either inverse J-shaped or positively skewed which may have indicated rapidly-growing populations with high reproductive capacity. Conversely, the size–frequency distribution of Traganum nudatum, S. Rosmarinus, and Prosopis farcta was approximately symmetrical (i.e., bell-shaped). The present study sheds light on the necessity of managing abandoned agricultural fields for restoring and improving rangelands with native species that are adapted to the local conditions such as low water demand.
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Al Mamun, Md Abdullah, Md Zahedul Alam, Md Rozibul Haque, Mani Lal Aich, Mohammad Hanif, Mohammad Amzad Hossain, and Md Mizanur Rahman. "Autologous cartilagenous graft in ossiculoplasty." Bangladesh Journal of Otorhinolaryngology 19, no. 1 (May 3, 2013): 24–28. http://dx.doi.org/10.3329/bjo.v19i1.14860.

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CSOM is a most common ENT disease in our country, among them the atticoantral variety is life threatening if not treated earlier. So treatment plan is still radical surgery to eradicate the disease to save life ignoring the hearing conservation. Henceforth post operative hearing loss remains a problem for the patient. Ensuring total clearance of the disease depending on the ossicular status, tragal cartilage graft was used as easily available material for ossiculoplasty to improve the post operative hearing .The study presents 35 ear operation of varied middle ear pathology using tragal cartilage & perichodrium as a choice graft. We have recorded our observation & result & concluded that tragal cartilage & perichondrium is an ideal graft for ossiculoplaty. The objective of study was to asses the efficacy of tragal cartilage, the functional capacity in restoring hearing acuity, it’s mechanical survival, it’s extrusion rate & it’s functional integrity in ossicular reconstruction. The patients those underwent surgery in Sir Salimullah Medical College Mitford Hospital had significant improvement of hearing with no recurrence of disease. DOI: http://dx.doi.org/10.3329/bjo.v19i1.14860 Bangladesh J Otorhinolaryngol 2013; 19(1): 24-28
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Kayet, Bahnisikha, and Aryabrata Dubey. "Perichondrium - An Autologous Substitute for Temporalis Fascia in Type I Tympanoplasty: A Comparative Study." Bengal Journal of Otolaryngology and Head Neck Surgery 27, no. 2 (August 31, 2019): 140–48. http://dx.doi.org/10.47210/bjohns.2019.v27i2.241.

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Introduction Temporalis fascia is the commonly used graft material for tympanic membrane reconstruction. Tragal perichondrium share with the fascia the quality of being mesenchymal tissue. In our study we compared perichondrium and temporalis fascia in terms of graft uptake and hearing improvement. Materials and Methods All patients presenting with discharge from ear and decreased hearing were subjected to clinical examination and investigation. Patients satisfying inclusion criteria were included in study with total of 40 patients. Twenty underwent type1 tympanoplasty with temporalis fascia (TF) and another 20 patients with tragal perichondrium (TP). To evaluate success patients are evaluated at end of 6 months for graft uptake and 3 months for hearing results in audiological gain of 10 dB in two consecutive frequencies. Results Mean Pre-op AC Threshold in TF group was 30.75 dB±5.16 and Post-op AC Threshold was 14.15 dB±8.05. Mean Pre-op AC Threshold in TP group was 32.2 dB±4.81 and Post-op AC Threshold was 20.95 dB±7.14. Mean post-op AC Threshold, Mean Post-Op AB Gap and Mean Audiological Gain was statistically significant among 2 groups p=0.0075, p=0.0013, p=0.0294 respectively. Temporalis fascia was better than Tragal Perichondrium. Graft uptake in 2 groups was not significant (p=0.6325). Conclusion From the present study we may conclude that temporalis fascia, tragal perichondrium free grafts provide viable autograft material for tympanoplasty. Both achieve good hearing restoration but the improvement in hearing or audiological gain is better in temporalis fascia graft than in tragal perichondrium graft.
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Muniasamy, Pradeep Kumar, Dharanya Gopalakrishnan Srinivasan, Prabu Velayutham, Nishanth Savery, Balasubramanian Krishnaswami, and Ramkumar Vellikannu. "A comparative study of post-operative outcomes in type 1 tympanoplasty using tragal chondroperichondrial shield graft and temporalis fascia graft." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 5 (April 21, 2020): 867. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20201676.

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<p class="abstract"><strong>Background:</strong> Type 1 tympanoplasty is the reconstruction of perforated tympanic membrane with an intact and mobile ossicular chain. Among various autologous graft materials, temporalis fascia and tragal chondroperichondrium are commonly used, having their own merits and demerits. In our study, we have compared the results and postoperative outcomes of tympanoplasty using temporalis fascia and tragal chondroperichondrium.</p><p class="abstract"><strong>Methods:</strong> This prospective comparative study included 60 cases of chronic suppurative otitis media - tubotympanic disease (CSOM-TTD) in a tertiary care centre. They were randomised into two groups of 30 patients each and were subjected to tympanoplasty using either tragal cartilage-perichondrium (group 1) or temporalis fascia graft (group 2) from November 2017 to May 2019. Objective hearing improvement at 1st, 3rd and 6th month postoperative follow-up and graft uptake rate at 3rd month were compared. </p><p class="abstract"><strong>Results:</strong> Incidence of cases was more in the age group between 31-45 years age group (53.3%). Graft uptake rate was 96.6% for temporalis fascia group and 83.33% for tragal group (p value - 0.194). Preoperative air-bone (AB) gap in group 1 was found to be 25±4.09 dB which improved to 11.73±2.21 dB at 6 months and in group 2, it was 25.7±3.94 dB which improved to 14.06±3.68 dB at 6 months. Mean improvement in hearing for tragal group (13.27 dB) was better than temporalis fascia group (11.64 dB) (p value &lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> Both temporalis fascia and tragal chondroperichondrium are suitable graft materials for tympanoplasty, although graft uptake was clinically better with the use of temporalis fascia.</p><p> </p>
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Muddaiah, Dechu. "ENDOSCOPIC TRANSCANAL TRANSTYMPANIC POP THROUGH TECHNIQUE OF MYRINGOPLASTY USING TRAGAL PERICHONDRIUM GRAFT." First Issue 2022 Volume 10, Issue 1 (June 30, 2022): 1–6. http://dx.doi.org/10.36611/upjohns/volume10/issue1/1.

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INTRODUCTION A perforated tympanic membrane is most commonly repaired using temporalis fascia graft by microscope assisted post auricular approach and underlay technique, we present an alternative technique to repair the perforated tympanic membrane using an alternative easily accessible graft material like tragal perichondrium, by endoscope assisted trans canalicular approach, where the graft is placed medial to the tympanic membrane remnant by pop through technique. OBJECTIVE T h e u s a g e o f r i g i d 4 m m e n d o s c o p e f o r myringoplasty allows better visualization, magnification and reconstruction of perforated tympanic membrane using tragal perichondrium is minimally invasive. The purpose of the study is to put across our experience in 69 patients where endoscopic assisted myringoplasty was done using tragal perichondrium graft. The graft was placed medial to the tympanic membrane remnant by trans tympanic pop through technique and tympanomeatal flap was not raised. METHOD This study was done over a period of 3 years, 69 patients with chronic suppurative otitis media fitting into the inclusion criteria underwent endoscopic transcanal myringoplasty using tragal perichondrium as graft material by underlay pop t h r o u g h t e c h n i q u e . T h e p o s t o p e r a t i v e audiological improvement in closure of air bone gap on pure tone audiometry, success in tragal perichondrium graft uptake, and mean operative time was evaluated. RESULTS The study population was 69 with predominantly females, the post operative pure tone audiometry showed that 39.1% had closure of airbone gap of 10db, 17.4% showed air bone gap closure of 20bd and 43.5 % showed air bone closure of 15db. 85% had success of graft uptake (i.e. complete closure of perforation) at 6 weeks post op .The mean operative time was 80 minutes. CONCLUSION Endoscopic assisted trans-canalicular (pop t h r o u g h t e c h n i q u e ) o f s i m p l e u n d e r l a y myringoplasty using tragal perichondrial graft is simple, minimally invasive with good post operative improvement in hearing and can be d o n e a s a d a y c a r e p r o c e d u r e w i t h o u t complications. KEYWORDS Endoscopic myringoplasty, tragal perichondrium , pop in technique.
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Khan, M. M., and S. R. Parab. "Comparative study of sliced tragal cartilage and temporalis fascia in type I tympanoplasty." Journal of Laryngology & Otology 129, no. 1 (January 2015): 16–22. http://dx.doi.org/10.1017/s0022215114003132.

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AbstractObjective:To compare anatomical and audiological results using sliced tragal cartilage and temporalis fascia in type I tympanoplasty.Method:A retrospective review was undertaken of primary tympanoplasties using sliced tragal cartilage and temporalis fascia from May 2005 to January 2008. In total, 223 ears were operated on using sliced tragal cartilage graft and 167 using temporalis fascia. Statistical analysis of the outcome data was performed.Results:At the two-year and four-year follow ups, successful closure of the tympanic membrane was achieved in 98.20 per cent and 97.75 per cent, respectively, of the cartilage group compared with 87.42 per cent and 82.63 per cent, respectively, of the temporalis fascia group. At the four-year follow up, the average air–bone gap was 7.10 ± 3.01 dB in the cartilage group and 8.05 ± 3.22 dB in the temporalis fascia group.Conclusion:The overall success rate for primary cartilage tympanoplasty is higher when using sliced cartilage than with temporalis fascia grafting.
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Coombs, Christopher J., and Frank Lin. "Tragal Reconstruction After Tumor Excision." Annals of Plastic Surgery 74, no. 2 (February 2015): 191–94. http://dx.doi.org/10.1097/sap.0b013e3182920c5b.

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22

Benecke, James E., Arun K. Gadre, and Fred H. Linthicum. "Chondrogenic Potential of Tragal Perichondrium." Laryngoscope 100, no. 12 (December 1990): 1292???1293. http://dx.doi.org/10.1288/00005537-199012000-00008.

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23

Murrell, George L. "Tragal cartilage grafts in rhinoplasty." Otolaryngology–Head and Neck Surgery 139, no. 1 (July 2008): 176–77. http://dx.doi.org/10.1016/j.otohns.2008.03.031.

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Ajijola, Olujimi A., and David Hamon. "Noninvasive Neuromodulation Via Tragal Stimulation." JACC: Clinical Electrophysiology 2, no. 3 (June 2016): 340–42. http://dx.doi.org/10.1016/j.jacep.2016.01.005.

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Jose, Arun A., Nirmal C. Venkataramanujam, Padmanabhan Karthikeyan, Ramiya R. Kaipuzha, and Davis Thomas Pulimoottil. "A comparative study of temporalis fascia versus tragal perichondrium graft in myringoplasty." International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 7 (June 23, 2021): 1154. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20212452.

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<p class="abstract"><strong>Background:</strong> This study aimed to compare the efficacy of temporalis fascia and tragal perichondrium grafts in myringoplasty and to assess the hearing improvement following surgery.</p><p class="abstract"><strong>Methods:</strong> This was a clinical prospective study involving 50 patients of chronic suppurative otitis media inactive mucosal disease who were assigned to two groups. Group I was temporalis fascia group and group II was tragal perichondrium group and subsequently underwent myringoplasty. Patients were followed up at 3 and 6 months.</p><p class="abstract"><strong>Results:</strong> There was a preponderance of ear disease among children, with a male to female ratio of 1:1.63. Preoperative dry ear for 1-6 months was associated with 82.9% success rate (group I 76.5%, group II 87.5%). Patients with cellular mastoids were associated with 100% success rate.</p><p class="abstract"><strong>Conclusions:</strong> In this study we found that patients with cellular mastoids and dry ear for 1-6 months were associated with higher success rates. The study also revealed that in terms of hearing gain postoperatively, the temporalis fascia graft fared slightly better than the tragal perichondrium graft. Tragal perichondrium and temporalis fascia grafts appear to have almost similar graft take rates.</p>
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Shinde, Vinod, Tejal Sonar, Shikha Shah, Ashutosh Kumar, and Anuja Satav. "A comparative study of hearing outcome in patients undergoing type 1 tympanoplasty using temporalis fascia versus sliced tragal cartilage." International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 2 (January 25, 2021): 258. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20210169.

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<p class="abstract"><strong>Background:</strong> A tympanoplasty is a surgical procedure to close a tympanic membrane perforation and reconstruct the tympanic membrane and hearing, commonly after chronic otitis media and trauma.</p><p class="abstract"><strong>Methods:</strong> 50 patients were divided into 2 groups and underwent type-1 tympanoplasty using temporalis fascia versus sliced tragal cartilage. The patient was placed in supine position. Antiseptic painting and draping was done. All cases were operated under local anaesthesia. Post aural approach with post aural Wilde’s incision with 15 number blade, the incision was made 5-10 mm posterior to post aural groove. Temporalis fascia graft was harvested. Tragal cartilage, incision was taken over the under surface of the tragus and tragal cartilage was sliced. </p><p class="abstract"><strong>Results:</strong> The mean duration of symptoms was 12.72 and 15.84 months in group A and B respectively. Reduced hearing was noted in 21 and 24 patients, ear discharge in 21 each and giddiness in 2 and 4 patients respectively in group A and B. The difference was non-significant when the symptoms were evaluated. Improvement in AB gap was significantly better in group B with a p value of 0.042. The mean improvement was 14.2 dB and 17 dB respectively.</p><p class="abstract"><strong>Conclusions:</strong> Type-1 tympanoplasty using the sliced tragal cartilage may be associated with better improvement in AB gap and can be regularly employed compared to temporalis fascia method.</p>
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Hebert, Richard L., Michael L. Vick, Geoffrey E. King, and John P. Bent. "Tympanostomy tubes and otic suspensions: Do they reach the middle ear space?" Otolaryngology–Head and Neck Surgery 122, no. 3 (March 2000): 330–33. http://dx.doi.org/10.1067/mhn.2000.101954.

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The treatment of patients with tympanostomy tubes (TTs) and otorrhea with medicated otic suspensions is well known, but confirmation of penetration into the middle ear is difficult. To address this question, we created an in vitro model of the human head and ear and then tested it with 5 different types of liquid exposure: tap water, soapy water, polymyxin B sulfate (Cortisporin), tobramycin and dexamethasone (TobraDex), and ciprofloxacin (Cipro) suspensions. A positive test result corresponded to liquids entering the middle ear through the TT. No positive test result was elicited with tap water (0/20), but soapy water did enter the middle ear (10/40) and was statistically significant ( P = 0.0112). Without the use of slight tragal pressure, Cortisporin, TobraDex, and Cipro drops did not consistently pass through the TT (0/20, 1/25, 1/25). By placing the drops with the addition of tragal pressure, a statistically significant difference was obtained for each solution (20/20, 20/20, and 20/20, respectively [ P < 0.0001]). We conclude that with a clean external auditory canal, patent TT, and no middle ear fluid, medicated otic suspensions enter the middle ear only when combined with slight tragal pressure.
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Hebert, Richard L., Michael L. Vick, Geoffrey E. King, and John P. Bent. "Tympanostomy Tubes and Otic Suspensions: Do They Reach the Middle Ear Space?" Otolaryngology–Head and Neck Surgery 122, no. 3 (March 2000): 330–33. http://dx.doi.org/10.1016/s0194-5998(00)70042-8.

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The treatment of patients with tympanostomy tubes (TTs) and otorrhea with medicated otic suspensions is well known, but confirmation of penetration into the middle ear is difficult. To address this question, we created an in vitro model of the human head and ear and then tested it with 5 different types of liquid exposure: tap water, soapy water, polymyxin B sulfate (Cortisporin), tobramycin and dexamethasone (TobraDex), and ciprofloxacin (Cipro) suspensions. A positive test result corresponded to liquids entering the middle ear through the TT. No positive test result was elicited with tap water (0/20), but soapy water did enter the middle ear (10/40) and was statistically significant ( P = 0.0112). Without the use of slight tragal pressure, Cortisporin, TobraDex, and Cipro drops did not consistently pass through the TT (0/20, 1/25, 1/25). By placing the drops with the addition of tragal pressure, a statistically significant difference was obtained for each solution (20/20, 20/20, and 20/20, respectively [ P < 0.0001]). We conclude that with a clean external auditory canal, patent TT, and no middle ear fluid, medicated otic suspensions enter the middle ear only when combined with slight tragal pressure.
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29

Testa, José Ricardo Gurgel, Miriam Scapin Teixeira, Katia M. X. Ribeiro, Gilberto Ulson Pizarro, and Ieda Millas. "Cartilagem tragal com pericondrio em timpanoplastias." Revista Brasileira de Otorrinolaringologia 68, no. 1 (May 13, 2002): 54–56. http://dx.doi.org/10.1590/s0034-72992002000100009.

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Introdução: os enxertos de cartilagem começaram a ser usados por Jansen em 1963 que sugeriu que teriam sua indicação em casos mais avançados por ser mais rígido resistindo melhor à reabsorções e retrações. Em 1998 Eavey descreve o uso de cartilagem tragal com pericôndrio bilateral e a sua colocação sem incisões no meato acústico externo. Forma de estudo: clínico prospectivo randomizado. material e método: Foram estudados 100 pacientes portadores de seqüelas de otites médias crônicas, com perfurações da membrana timpânica com rebordo e submetidos a timpanoplastias com cartilagem tragal e pericôndrio. As dimensões das perfurações foram em média 40% da área da membrana timpânica. Na avaliação auditiva observamos média pré-operatória de perda condutiva de 28.3 dB e pós-operatória de 9.8 dB. Resultados: O fechamento da perfuração foi total em 95.0% dos casos. Conclusão: Estudando os resultados concluímos que o método é de fácil realização, com poucas complicações, bons resultados auditivos e ótimos resultados anatômicos. Sendo uma ótima opção para o otologista na resolução das seqüelas das otites crônicas.
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Boyd, Nathan H., and Joshua A. Gottschall. "Assessing the Efficacy of Tragal Pumping." Otolaryngology–Head and Neck Surgery 144, no. 6 (February 18, 2011): 891–93. http://dx.doi.org/10.1177/0194599811399711.

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31

QURAISHI, M. S., and N. S. JONES. "Day case myringoplasty using tragal perichondrium." Clinical Otolaryngology 20, no. 1 (February 1995): 12–14. http://dx.doi.org/10.1111/j.1365-2273.1995.tb00004.x.

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32

Williamson, P. A., D. M. Thomas, and P. Beasley. "Posterior tragal perichondrium harvesting for myringoplasty." Clinical Otolaryngology and Allied Sciences 24, no. 4 (August 1999): 252–54. http://dx.doi.org/10.1046/j.1365-2273.1999.00246.x.

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33

Schmerber, Sébastien, Olivier Cuisnier, Robert Charachon, and Jean-Pierre Lavieille. "Vein Versus Tragal Perichondrium in Stapedotomy." Otology & Neurotology 25, no. 5 (September 2004): 694–98. http://dx.doi.org/10.1097/00129492-200409000-00008.

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34

Gubisch, W., and A. Kotzur. "Tragal Cartilage Grafts in Aesthetic Rhinoplasty." Aesthetic Plastic Surgery 27, no. 3 (June 1, 2003): 232–36. http://dx.doi.org/10.1007/s00266-003-0086-x.

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35

Titoria, P., and D. Alderson. "A technique for raising tragal perichondrium." Clinical Otolaryngology 35, no. 1 (February 2010): 75. http://dx.doi.org/10.1111/j.1749-4486.2009.02064.x.

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36

K., Santhanakrishnan, and Poornima S. Bhat. "A comparative study of the outcomes of temporalis fascia graft versus tragal perichondrium graft in type 1 tympanoplasty in our experience." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 1 (December 22, 2017): 60. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20175063.

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<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">COM causes considerable morbidity with ear discharge, conductive hearing loss and complications. Type 1 tympanoplasty is a surgical procedure which intends improves the hearing and quality of the life. Comparison of the outcomes will help to determine the merits or demerits of a particular graft. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The study was conducted in the department of ENT, SMVMCH, Pondicherry from April 2015 to April 2017. A detailed history taking, thorough clinical examination done for these patients. PTA was done before the procedure, post operatively at 3<sup>rd</sup> month. Hearing improvement analysed using different parameters like type of graft used, hearing gain, graft uptake; the data collected was tabulated and subjected to statistical analysis. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">All the patients had COM, mucosal type, with conductive hearing loss of &lt;40 dB. 23 patients underwent type 1 tympanoplasty by underlay technique using temporalis fascia, 19 patients using tragal perichondrium. There was no significant difference in total hearing gain at 3<sup>rd</sup> month and graft uptake between temporalis fascia and tragal perichondrium. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">This study compared the outcomes of temporalis fascia and tragal perichondrium graft with respect to hearing gain and graft uptake. Tragal perichondrium graft equally effective as temporalis fascia graft in terms of hearing gain and graft uptake.</span></p>
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37

Tahir, Muhammad, Asim Abbass, Faiz Ul Hassan Nawaz, Syed Asad Shabir, and Atif Rafique. "COMPARISON BETWEEN TRAGAL CARTILAGE WITH PERICHONDRIUM AND TEMPORALIS FASCIA GRAFT BY UNDERLAY ENDOSCOPIC TYMPANOPLASTY." PAFMJ 71, Suppl-3 (December 31, 2021): S622–25. http://dx.doi.org/10.51253/pafmj.v71isuppl-3.5819.

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Objective: To compare the results of tragal cartilage with perichondrium versus temporalis fascia graft in endoscopic tympanoplasty using underlay technique. Study Design: Comparative prospective study. Place and Duration of Study: Study conducted in Tertiary Care Hospital, Karachi, from Jul 2018 to Feb 2020. Methodology: Overall, 34 patients having permanent unilateral tympanic membrane perforations were included in this study, in whom underlay endoscopic tympanoplasty was performed. Group A patients underwent temporalis fascia graft while group B received a tragal cartilage with perichondrium graft. The success rate between groups was compared in respect of reduction in postoperative air-bone gap and healing of perforation. Results: The success rate of graft was 88% (30/34) in group A and 94% (32/34) in group B after 6 months follow-up, the difference was not found to be statistically significant (p=0.368). Hearing improvement in the form of closure of air bone gap in group A was from 24.52 ± 1.73 dB (decibel) to 13.56 ± 5.67s dB and in group B it was from 19.76 ± 3.47dB to 11.94 ± 3.9dB, the difference was not significant statistically (p=0.333). Conclusion: Keeping in view the results of our study, we conclude that both tragal cartilage with perichondrium and temporalis fascia graft are considered equally successful in endoscopic tympanoplasty.
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Desarda, K. K., D. A. Bhisegaonkar, and S. Gill. "Tragal perichondrium and cartilage in reconstructive tympanoplasty." Indian Journal of Otolaryngology and Head and Neck Surgery 57, no. 1 (January 2005): 9–12. http://dx.doi.org/10.1007/bf02907617.

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39

Fritsch, Michael H., and Aaron C. Moberly. "Tragal storage of autograft middle-ear ossicles." Otolaryngology–Head and Neck Surgery 143, no. 1 (July 2010): 161–62. http://dx.doi.org/10.1016/j.otohns.2010.02.030.

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40

Varghese, George Mullonkal, P. Hafees Abdullah, and Nelwin Jerald Sabu. "Sutureless Tragal Cartilage Island Tympanoplasty: Our Experience." Indian Journal of Otolaryngology and Head & Neck Surgery 71, S2 (July 6, 2018): 1377–82. http://dx.doi.org/10.1007/s12070-018-1438-9.

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41

Kumar, Abhay, Prabhu Narayan, Prem Narain, Jaypal Singh, Prateek Kumar Porwal, Sanjay Sharma, and Daya Shankar. "Comparative study between result of temporalis muscle fascia and tragal cartilage perichondrium as a graft material in type 1 tympanoplasty." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 2 (February 23, 2018): 565. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20180726.

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<p class="abstract"><strong>Background:</strong> Leading cause of deafness in India is chronic suppurative otitis media. Most common cause of TM perforation is chronic suppurative otitis media. With this background this study was to compare hearing results, as well as graft takes for commonly preferred reconstruction techniques of the TM (i.e., temporalis fascia vs. cartilage) in tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> The present study consists of 60 cases of C.S.O.M (TTD) which was divided into two groups with 30 cases in each group. In first group type1 tympanoplasty was done by Temporalis fascia technique. In second group type 1 tympanoplasty done by tragal cartilage with perichondrium technique. History and otoscopic examination along with pure tone audiometry was performed preoperatively. Postoperative hearing results and graft uptake were compared between two groups, all surgeries were performed through the post aural approach. </p><p class="abstract"><strong>Results:</strong> Graft uptake results are better with tragal cartilage with perichondrium technique. Hearing improved significantly in both groups. Though this was slightly better in TFT, but not significant statistically.</p><p><strong>Conclusions:</strong> Graft uptake rates are better with the tragal cartilage with perichondrium technique in comparison of TFT and hearing results are almost equivalent with both techniques.</p>
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Deshmukh, Bharat G., Deepak Bhisegaonkar, and Akanksha Bakre. "A comparative study of tragal cartilage and autologous incus for ossicular chain reconstruction in type IIB tympanoplasty at Dr. Hedgewar Hospital, Aurangabad." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 1 (December 23, 2019): 78. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20195693.

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<p class="abstract"><strong>Background:</strong> Tympanoplasty is the surgical operation performed for the reconstruction of the eardrum (tympanic membrane) and/or the small bones of the middle ear. Chronic otitis media is a very common condition of middle ear which not only has a high incidence in the world but also in our set up. So, in view of this, we decided to conduct a study on the surgical management of CSOM-tubotympanic type.</p><p class="abstract"><strong>Methods:</strong> We conducted this study at ENT department of Dr. Hedgewar Rugnalaya, Aurangabad to compare air bone gap closure by using tragal cartilage and autologous incus in type IIB tympanoplasty in patients with chronic suppurative otitis media, (tubotympanic). 66 patients with central perforation of tympanic membrane, necrosed incus and mobile stapes requiring type IIB tympanoplasty, were included as a part of the study.</p><p class="abstract"><strong>Results:</strong> We performed type IIB tympanoplasty with a routine post-aural incision in 66 patients. According to our observation, both incus and cartilage are good materials for ossiculoplasty, tragal cartilage being better.</p><p class="abstract"><strong>Conclusions:</strong> After conducting this study we concluded that incus and tragal cartilage both are excellent materials for ossiculoplasty.</p>
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Abo Elwafa, Wael H., Kamel S. Hammad, Ahmed S. Gad, Mohamed K. Ibrahium, and Mohamed S. Khalil. "Temporalis Fascia versus Tragal Mucoperichondrium Graft in Myringoplasty." Egyptian Journal of Hospital Medicine 75, no. 3 (April 1, 2019): 2521–26. http://dx.doi.org/10.21608/ejhm.2019.31079.

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44

Murata, Kiyotaka, and Fumihiko Ohta. "Reconstruction of the Middle Ear with Tragal Cartilage." Acta Oto-Laryngologica 98, sup419 (January 1985): 130–35. http://dx.doi.org/10.1080/00016489.1985.12005663.

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45

Hussain, A., and N. Kay. "Tragal cartilage inferior turbinate mucoperiosteal sandwich graft technique for repair of nasal septal perforations." Journal of Laryngology & Otology 106, no. 10 (October 1992): 893–95. http://dx.doi.org/10.1017/s0022215100121206.

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AbstractTen cases of large nasal septal perforation were repaired with a tragal cartilage inferior turbinate mucoperiosteal sandwich graft technique with 70 per cent success rate over a follow-up period of up to 24 months. The technique is described in detail. The results are comparable to other techniques.
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Singh, Satguru Saran, Sandip M. Parmar, Abhey Sood, Nilank Saroha, and Meenu Chaudhary. "Pre-operative and post-operative audiological evaluation of type 1 tympanoplasty and comparison between temporalis fascia graft and tragal perichondrium graft." International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 6 (May 26, 2021): 1031. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20212128.

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<p><strong>Background: </strong>Aim of the study was<strong> </strong>to evaluate the hearing improvement of type 1 tympanoplasty performed by using autologous temporalis fascia and autologous tragal perichondrium graft in successfully operated and graft uptake cases, with respect to age, sex, size of perforation and type of graft.</p><p><strong>Methods:</strong> This prospective study consists of total 100 patients with chronic suppurative otitis media (CSOM) tubotympanic disease who have undergone type 1 tympanoplasty. Randomization of patients was done. Every alternate patient was divided accordingly in to two groups-one in temporalis fascia graft group and another in tragal perichondrium graft group. Pure tone audiometry (PTA) was performed preoperatively and 3 months after surgery. Cases with successful graft uptake were included in the study. Statistical comparisons were performed using the t test, and ANOVA test.</p><p><strong>Results: </strong>In this study maximum numbers of patients were found in the age group of 15-30 years. Study showed that audiological benefits were more in males in comparison to females. Large size of perforation showed more improvement due to more air bone gap in comparison to medium size and small size perforation of ears. Audiological improvement occurred in 94% of cases, 3% cases worsened and 3% cases showed no change. More improvement was found in temporalis fascia graft in comparison to tragal perichondrium graft.</p><p><strong>Conclusions: </strong>Type 1 tympanoplasty is a safe and effective technique to improve the quality of life of patients. Size of perforation, type of graft was found to have a major effect on the final outcome of surgery.</p>
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Pathak, Vivek K., Pradeepti Nayak, Sonali Tyagi, and Rohit Chaudhary. "Tragal perichondrium as graft material in tympanoplasty: our experience." International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 3 (February 24, 2021): 430. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20210491.

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<p class="abstract"><strong>Background:</strong> It has been defined as a permanent abnormality of pars tensa or flaccida, as a result of acute otitis media, negative middle ear pressure or otitis media with effusion. It manifests clinically as ear discharge and decreased hearing and may lead to numerous changes in the tympanic membrane, middle ear cleft, and mastoid air cell system. It has been classified into two types: mucosal and squamosal types. Chronic otitis media (COM) is a very common condition in developing countries in both adult and paediatric age groups. This study has been conducted to determine the outcome and graft uptake of tragal perichondrium in type 1 tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> The prospective analytical study was conducted department of otorhinolaryngology, School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, India over a period of 12months from 01 January 2019 to 31 December 2019. 30 patients according to inclusion criterion underwent tympanolpasty using tragal perichondrium were included in study. The data obtained was analyzed using statistical package for the social sciences (SPSS), version 21.0. P value less than 0.05 was taken as statically significant. </p><p class="abstract"><strong>Results:</strong> Preoperative mean hearing loss was 38.45±7.01 dB, mean air bone gap was 20.20±3.75 dB, and postoperative air bone gap was reduced to an average of 10.86±3.82 dB. 8.51 dB of hearing gain was achieved and an air bone gap réduction of 8.51 dB was observed.</p><p class="abstract"><strong>Conclusions:</strong> Our study concluded tragal perichondrium is a suitable graft material is n mucosal type of COM.</p>
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48

Rerknimitr, Pawinee, Korbkarn Pongpairoj, Chanat Kumtornrat, Ratchathorn Panchaprateep, Cameron P. Hurst, Aurauma Chutinet, Pravit Asawanonda, and Nijasri C. Suwanwela. "Anterior Tragal Crease Is Associated With Atherosclerosis: A Study Evaluating Carotid Artery Intima–Media Thickness." Angiology 68, no. 8 (January 5, 2017): 683–87. http://dx.doi.org/10.1177/0003319716685481.

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The utility of the ear crease sign, anterior tragal crease (ATC), as a marker of atherosclerosis is yet to be established. The intima–media thickness of the common carotid artery (IMT-CCA) has been used as a noninvasive surrogate marker for atherosclerosis. History of traditional risk factors for atherosclerosis was obtained from 147 volunteers; ear examination was also performed and venous blood was drawn for laboratory analysis. The volunteers then underwent an ultrasonography measurement of the IMT-CCA. In univariate analysis, presence of ATC, age, underlying hypertension, diabetes mellitus, ischemic heart disease, cerebrovascular disease, cigarette smoking, low-density lipoprotein, and high-sensitivity C-reactive protein were significantly associated with the IMT-CCA. Further multivariate analysis confirmed a significant association between the presence of ATC and IMT-CCA, when adjusted for other factors (adjusted βATC = .010, 95% confidence interval: 0.0021-0.019). Anterior tragal crease is a potential clinical sign that can predict atherosclerosis. The sign is easily recognizable and may help health-care professionals to identify those at risk of atherosclerosis, especially in people with no clinical signs of the disease.
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Hussain, A., and P. Murthy. "Modified tragal cartilage – temporoparietal and deep temporal fascia sandwich graft technique for repair of nasal septal perforations." Journal of Laryngology & Otology 111, no. 5 (May 1997): 435–37. http://dx.doi.org/10.1017/s0022215100137569.

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AbstractFifteen cases of nasal septal perforation were repaired with a tragal cartilage–temporoparietal and deep temporal fascia sandwich technique using a modification of the approach previously described (Hussain and Kay, 1992). Successful closure was achieved in 14 patients (100 per cent) after an observation time of up to two years. The operative technique and advantages of the modified approach are described.
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50

Vadiya, SohilI, Parth Makwana, Sridhar Khetani, and Nisarg Mehta. "Comparison of tragal cartilage and conchal cartilage in tympanoplasty." Indian Journal of Otology 28, no. 1 (2022): 41. http://dx.doi.org/10.4103/indianjotol.indianjotol_142_21.

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