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Objetivo: Comparar los resultados de timpanoplastia entre fascia temporal (GI) y cartilago auricular (GII) en perforacion timpanica secundaria a trauma por onda explosiva. Diseno: Estudio de cohorte historica. Metodos: Se incluyeron pacientes llevados a timpanoplastia tipo I, intervenidos entre febrero 1.o del 2007 y diciembre 31 del 2009. Los sujetos son miembros de las Fuerzas Armadas de Colombia, heridos en combate. Fueron excluidos aquellos sometidos a mastoidectomia u osciculoplastia. El resultado anatomico se evaluo mediante prueba exacta de Fisher, y el funcional, mediante Anova. Resultados: Se incluyeron 36 sujetos, GI = 16 y GII = 20. No hubo diferencias en el exito anatomico entre GII = 95% (19/20) y GI = 87,5% (14/16), a los 12 meses (p = 0,57). En pacientes con cadena integra-movil, la brecha aire-hueso a los seis meses (n = 30) fue de 5,8 dB (DE = 8 dB), y a los doce meses (n = 26) fue de 5,4 dB (DE = 8 dB). No hubo asociacion entre el resultado funcional y el tipo de injerto utilizado (p > 0,05). Conclusiones: la timpanoplastia en perforacion secundaria a trauma por onda explosiva ofrece resultados satisfactorios y estables a los doce meses, tanto con fascia como con cartilago...(AU) Objective: to compare tympanoplasty outcomes between fascia temporalis (GI) and auricular cartilage (GII) in tympanic membrane perforation caused by blast injury. Design: historical cohort study. Methods: patients underwent tympanoplasty type I, between February 1-2007 and December 31-2009, were included. The study subjects are members of the armed forces of Colombia that were wounded in combat. Patients who underwent mastoidectomy or ossiculoplasty were excluded. The Fisher’s exact test was performed to assess the anatomical outcome, and the ANOVA test to assess the functional outcome. Results: 36 subjects were included, GI = 16 and GII = 20. Regarding the anatomical success, there was no differences between GI = 95% (19/20) and GII = 87.5% (4/16), at 12 months of follow-up (p = 0.57). In patients with an intact ossicular chain, the airbone gap at 6 months (n = 29) was = 5.8 dB (SD = 8 dB); while at 12 months (n = 26) it was = 5.4 dB (SD = 8 dB). There was no relationship between the functional outcome and the kind of graft used (p > 0.05). Conclusions: the surgical outcomes of the tympanoplasty in tympanic membrane perforation caused by blast injury are satisfactory and stable at 12 months, with fascia and cartilage...(AU)

Timpanoplastia en perforación timpánica secundaria a trauma por onda explosiva