Fat graft myringoplasty in small central perforations

Sharma, Chhavi; Singh, Jasbir; Kakkar, Vikas; Yadav, S. P. S.; Malik, Priya; Bishnoi, Surender

doi:10.4103/0971-7749.146942

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…Likewise in a study by Sharma et al, age-group wise postoperative improvement in AB gap was not statistically significant (p=0.939). 9 In a study by Saliba no difference was observed between children 10 years or younger and children older than 10 years. 6 In paediatric group, patient age is the most debated subject with no consensus on the optimum age.…”

Section: Age Distributionmentioning

confidence: 89%

Analysis of hearing improvement following fat graft myringoplasty

Panchal

Kumar

Desai

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Fat graft myringoplasty (FGM) is a procedure with a short learning curve, cost effective, with minimal morbidity in properly selected patients. It is useful to relieve the patient of annoyance caused by a small perforation in terms of ear discharge and hearing loss. The aim was to assess postoperative hearing improvement and investigate influence of factors like age, gender and location of perforation on audiological outcomes.Methods: This study was a prospective study done on 25 patients at a tertiary care hospital who underwent FGM. All patients had small dry central perforation. Air and Bone conduction (AC/BC) thresholds and air-bone gap (ABG) were evaluated both preoperatively and postoperatively. Results: Mean hearing improvement was 14.4762 dB in <40 yrs age group whereas it was 11.2500 dB in >40 yrs age group. Mean hearing improvement in females was 13.75 dB whereas it was 14.154 dB in males. Mean hearing improvement was 15 dB in posterior, 14.7 dB in inferior and 14.46 dB in anteriorly located perforation.Conclusions: FGM is effective in improving postoperative hearing thresholds hence it can be used in small dry central perforations of tympanic membrane in patients irrespective of patient variables such as age, gender, and location of perforation. As no significant statistical difference was observed in terms of gender, location or aetiology of perforation, we consider it a procedure to be recommended across all spectrums of patients.

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Section: Age Distributionmentioning

confidence: 89%

Analysis of hearing improvement following fat graft myringoplasty

Panchal

Kumar

Desai

2018

Int J Otorhinolaryngol Head Neck Surg

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“…Lately, less costly, non-invasive non-surgical approaches to treat various causes have been mandatory. [1] Though complicated procedures have their place, simple treatments don't: they involve hospitalisation, are costly, and patients can't function or attend school during treatment. And if the amount of anaesthesia is provided to a restricted area of the eardrum to specific calibre of the ear canal, there is low chance of the anesthetic's invasion, so the procedure is appropriate for the elderly with certain medical conditions and other comorbidities.…”

Section: Introductionmentioning

confidence: 99%

Different Grafts used In Closure of Central Small Tympanic Membrane Perforations

Gad

Hashem

Ismail

2021

Benha Journal of Applied Sciences

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Background: Large number of patient seek ENT consultation for central perforation of tympanic membrane. A significant portion of these cases are often found with very small central perforation. Minimyringoplasty is a very simple procedure to close such small perforations. Objective: the aim of the present study is to compare the surgical and audiological results of temporalis fascia versus more simple methods ( fat graft, fat graft wih hyaluronic acid and platelet rich plasma)in myringoplasty. Patient and Methods: a randomized prospective study concerned with 80 patients for whom myringoplasty was done. Patients were randomly assigned into four groups; in the first group fat graft was used (20patient) and fat graft with hyaluronic acid was used in the second group (20 patients).and platelet rich plasma was used in third group (20 patients) and temporalis fascia was used in fourth group (20 patients). Results: our study included 80 patients, 45 males and 35 females with a range from 18-55 years. Surgical success rates75% , 80%, 75%and 75%for fat graft, fat graft with hyaluronic acid, platelet rich plasma and temporalis fascia respectively. There was 6.5 dB, 7db , 6 db and 5.5 db mean hearing improvement improvement in fat graft, fat graft with hyaluronic acid, platelet rich plasma and temporalis fascia respectively. Conclusions: The myringoplasty with fat graft,fat graft with hyaluronic acid and PRP is a minimally invasive effective procedure in management of the small central tympanic membrane perforations . Also it is safe and feasible procedure In this study we have achieved High success rate of repair of tympanic membrane perforation.

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“…Myringoplasty is one of the most commonly performed procedures in otolaryngology [3]. It is an operation, in which the reconstructive procedure is limited to repair of TM perforation [4] assuming that middle ear ossicular chain is intact, Eustachian tube is patent and patient has a good cochlear reserve whereas Tympanoplasty is an operation which includes inspection and repair, if any, of middle ear sound conductive apparatus with reconstruction of TM in view of achieving an intact neo tympanum with normal hearing acuity [5].…”

Section: Introductionmentioning

confidence: 99%

“…Various graft materials are successfully used for the closure of tympanic membrane perforations. Commonly used graft materials include autologous temporalis fascia, tragal perichondrium, tragal cartilage and adipose tissue [2,3].…”

Section: Introductionmentioning

confidence: 99%

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A Comparative Study of the Efficacy of Fat Plug Myringoplasty and Conventional Myringoplasty in Chronic Suppurative Otitis Media with Small Central Perforation

Dhanapala

Bandadka

Reddy

2018

Indian J Otolaryngol Head Neck Surg

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Chronic Otitis Media (COM) is a major cause of acquired hearing impairment especially in developing countries. Persistent perforations occur either due to improper treatment of recurrent otitis media or infected traumatic perforation. Myringoplasty, repair of the Tympanic membrane using autologous temporalis fascia, is the standard procedure for COM. Other graft materials commonly used include tragal perichondrium, tragal cartilage and adipose tissue. This prospective study aims to compare the surgical and audiological outcome of fat plug myringoplasty [FPM] and conventional myringoplasty using temporalis fascia [CM-TF] in COM with small dry central perforation. A total of 60 patients of COM with small dry central perforation, aged 16-60 years, during the study period of October 2013 to August 2015 were divided into two groups of 30 cases each. The first group underwent FPM while the second group underwent CM-TF. The graft uptake and hearing outcome [pre operative and 3 months post operative PTA] were assessed. The surgical outcome of FPM with graft uptake of 86.7% was comparable to CM-TF with a graft uptake of 90%. The mean post operative hearing gain in FPM was 3.43 ± 2.81 dB which correlated well with that of CM-TF with 3.85 ± 3.05 dB. The duration of hospital stay and operative time was significantly lower in FPM group. FPM can be safely performed in cases with dry, small central perforations of the tympanic membrane with outcomes comparable to CM-TF.

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Fat graft myringoplasty in small central perforations

Cited by 6 publications

References 12 publications

Analysis of hearing improvement following fat graft myringoplasty

Analysis of hearing improvement following fat graft myringoplasty

Different Grafts used In Closure of Central Small Tympanic Membrane Perforations

A Comparative Study of the Efficacy of Fat Plug Myringoplasty and Conventional Myringoplasty in Chronic Suppurative Otitis Media with Small Central Perforation

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