The Outcome of Myringoplasty Using Autogenous Fat Graft.
- Author:
Chul Won PARK
1
;
Sang Hoon LEE
;
Seung Hwan LEE
;
Kyung Sung AHN
;
Seung Won JEONG
Author Information
1. Department of Otolaryngology, College of Medicine, Hanyang University, Seoul, Korea. HYENT@chollian.net
- Publication Type:Original Article
- Keywords:
Myringoplasty;
Fat graft
- MeSH:
Fascia;
Humans;
Medical Records;
Myringoplasty*;
Transplants*;
Tympanic Membrane Perforation
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2001;44(9):920-924
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Nowadays, temporalis fascia is the most commonly used graft material for closure of the tympanic membrane perforation, with the reported success rates of 90% or more. Fat graft myringoplasty has been used for closure of small tympanic membrane perforation and it appeared to be a safe, simple, efficient method. Several authors reported different success rates of fat graft myringoplasty from 70% to 97%. The aim of this study was to evaluate the outcomes of myringoplasty using autogenous fat graft performed in our department. MATERIALS AND METHODS: We reviewed the medical records of 54 patients who underwent fat graft myringoplasty from January 1999 to June 2000. RESULTS: Of 54 patients, 49 patients were successfully treated by fat graft myringoplasy, so the overall success rate was 90.7%. The success rate reduced with increasing size of perforation. Age, the location of perforation, experience of the surgeon, site of harvesting did not influence the success rate significantly. CONCLUSION: We estimated the success rate for fat graft myringoplasty as 90.7%, and this value is similar with that for temporalis fascia. So, fat graft myringoplasty must be considered in selected cases, particularly for small tympanic membrane perforation.
