Randomized Clinical Trial Comparing Bucket Handle and Cartilage Tympanoplasty Techniques for the Reconstruction of Subtotal or Anterior Tympanic Membrane Perforation
Alimohamad Asghari,1 Mohammad Mohseni,2 Ahmad Daneshi,2 Yasser Nasoori ,2 Sara Rostami,2 and Maryam Balali2


Objective. The purpose of the study is to compare the clinical outcome of the two techniques of Bucket Handle Tympanoplasty
and Cartilage Tympanoplasty in achieving success in graft survival as well as acceptable auditory results. 60 patients who suffered
chronic otitis media with anterior perforation of the tympanic membrane were chosen.The patients were randomly assigned using
Block Randomization Method of two groups including patients who underwent Bucket Handle Tympanoplasty (𝑛 = ۳۰) or those
that underwent Cartilage Tympanoplasty (𝑛 = ۳۰). The patients were followed up for 1, 3, 6, and 12 months postoperatively. Results.
The mean PTA was lower in Bucket Handle Tympanoplasty group as case group compared to Cartilage Tympanoplasty group as
the control (𝑃 = ۰٫۰۲۳). No significant statistical differences had identified passing through the time, in terms of PTA outcome (𝑃
Value = 0.547) and SRT outcome (P Value = 0.352), between BucketHandle Tympanoplasty group and the Cartilage Tympanoplasty
group. In total, postoperative tympanic membrane perforation was found in 10.0% of patients in Cartilage Tympanoplasty group
and 13.3% in Bucket Handle Tympanoplasty group with no difference (𝑃 = ۰٫۵۰۰). Conclusions. Hearing improvements in both
methods were similar. Registration Number.The trial is registered with IRCT2016022626773N1.