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CTRI Number  CTRI/2018/08/015343 [Registered on: 14/08/2018] Trial Registered Prospectively
Last Modified On: 13/08/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Study to compare the Effect of closing the Hole in the Ear Drum using cartilage and fascia. 
Scientific Title of Study   The Comparison of Tympnoplasty with Temporalis Fascia Graft Versus Cartilage Composite Graft A Randomized Control Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shruthi Sreekumar 
Designation  MS PG Student 
Affiliation  SRM General Hospital SRM University 
Address  Department of ENT, SRM General Hospital SRM University, Kattankulathur, 603203, Kancheepuram District,INDIA

Chennai
TAMIL NADU
603203
India 
Phone  09962020252  
Fax    
Email  shruthi_sreekumar@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr P K Purushothaman 
Designation  HOD & Professor 
Affiliation  SRM General Hospital SRM University 
Address  Department of ENT, SRM General Hospital SRM University, Kattankulathur, 603203, Kancheepuram District, INDIA

Kancheepuram
TAMIL NADU
603202
India 
Phone  9840723243  
Fax    
Email  entpurush@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr CRK Balaji 
Designation  Associate Professor 
Affiliation  SRM General Hospital SRM University 
Address  Department Of ENT, SRM General Hospital SRM University, Kattankulathur, 603203, Kancheepuram District, INDIA

Kancheepuram
TAMIL NADU
603203
India 
Phone  9884187257  
Fax    
Email  crkbalaji12@gmail.com  
 
Source of Monetary or Material Support  
SRM Medical College & research centre , kattangulathur, kancheepuram dist , tamilnadu, 603203 
 
Primary Sponsor  
Name  Dr Shruthi Sreekumar 
Address  SRM Medical College & research centre , kattangulathur, kancheepuram dist , tamilnadu, 603203 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Shruthi Sreekumar  SRM Medical College And Research Centre  Department of ENT,SRM Medical College And Research Centre,Kattankulathur,Kancheepuram dist. 603203
Kancheepuram
TAMIL NADU 
9962020252

shruthi_sreekumar@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical College & research centre institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H663||Other chronic suppurative otitis media,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Composite Cartilage Graft versus Temporalis Fascia Graft usage in Tympanoplasty  Composite cartilage graft harvested under sterile aseptic Precautions from the Tragus or Concha of the same patient used instead of the conventional Temporalis Fascia graft , and placed lateral to handle of malleus. 
Intervention  Tympanoplasty using Cartilage Composite Graft  All patients with Chronic Supporative Otitis Media mucosal inactive disease (central or subtotal perforation with dry ear )with no discharge for atleast 6 to 8 weeks will be randomised into 2 groups of which one group will undergo tympanoplasty using conventional temporalis fascia graft and another group wil undergo tympanoplasty using cartilage composite graft. All patients will be under IV antibiotic cover post operatively.sutures will be removed on the seventh postoperative day and given oral antibiotics and antihistamine.patient will be on regular follow up every 15 days for 3 months. Otoendoscopic examination will be done post operatively to evaluate the graft take up post operatively as well as to look for garft failure and reinfection. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.patients with anterior perforation,eustitian tube dysfunction,recurrent perforation
2.patients who are primary tympanoplasty cases with subtotal or large perforation.
3.patients diagnosed with CSOM Mucosal Type
4.patients with atleast 3 weeks dry period. 
 
ExclusionCriteria 
Details  1.patients with active infection.
2.Unsafe type of CSOM
3.patients having discharge ear.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Post operative outcomes assesed

1)Epithelialisation Of Graft
2)Graft Displacement
3)Rinnes Test
4)Webbers Test
5)Perforation Closure
6)Overall Outcome 
Post operative assesments on
1.8 th day
2.15 th day
3.30 th day
4.45 th day
5.60 th day
6.75 th day
7.90 th day 
 
Secondary Outcome  
Outcome  TimePoints 
Hearing improvement which is assessed by Pure Tone Audiometry  60 th Post Operative Day 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/08/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   After the completion of the trial the trial will be published in peer reviewed journal. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

To do a Prospective study in the department of ENT , SRM Medical College Hospital And Research Centre , Kattankulathur to evalute the effectiveness of usage of cartilage composite graft in patients undergoing tympanoplasty from aug 2018 to jan 2020 with follow up upto 3 months.Patients will be randomised into 2 groups : case group with 30 patients who will receive Partilage composite graft and control group who will include 30 patients who will receive temporalus fascia graft.

 
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