BACKGROUND AND OBJECTIVES: Fat myringoplasty has been used for closure of small tympanic membrane perforations. It is fast, safe and efficient method on ambulatory basis. The performance of this study is to investigate the results of fat myringoplasty in graft failure patient after conventional tympanoplasty with temporalis muscle fascia. METHOD:Fat myringoplasty were performed on 21 ears in 18 patients. RESULTS: We found that in 21 ear success rate was 71% (15/21), but in patient basis success rate was 83% (15/18). CONCLUSIONS: We believe that due to significant operational advantage, fat myringoplasty can be suggested for reparing perforation in graft failure patient.
Ear ; Fascia ; Humans ; Myringoplasty* ; Transplants* ; Tympanic Membrane ; Tympanoplasty

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.
Fascia ; Humans ; Medical Records ; Myringoplasty* ; Transplants* ; Tympanic Membrane Perforation

PURPOSE: This prospective study evaluated the effects of continuous sedation using midazolam, with or without remifentanil, on postoperative nausea and vomiting (PONV) in patients undergoing myringoplasty. MATERIALS AND METHODS: Sixty patients undergoing myringoplasty were sedated with midazolam in the presence of remifentanil (group MR), or after saline injection instead of remifentanil (group M). RESULTS: Three patients (10%) in group M complained of nausea; two vomited. Four patients (13%) in group MR complained of nausea and vomited within 24 h after surgery. Rescue drugs were given to the six patients who vomited. No significant difference was detected between the two groups regarding the incidence or severity of nausea, incidence of vomiting, or need for rescue drugs. CONCLUSION: Midazolam-based continuous sedation can reduce PONV after myringoplasty. Compared with midazolam alone, midazolam with remifentanil produced no difference in the incidence or severity of nausea, incidence of vomiting, or need for rescue drugs.
Humans ; Incidence ; Midazolam* ; Myringoplasty* ; Nausea ; Postoperative Nausea and Vomiting* ; Prospective Studies ; Vomiting

OBJECTIVES: Tympanic membrane perforations are common, but there have been few studies of the factors determining the extent of the resulting conductive hearing loss. The aims of this study were to determine whether the size of tympanic membrane perforation, pneumatization of middle ear & mastoid cavity, and location of perforation were correlated with air-bone gap (ABG) of patients. METHODS: Forty-two patients who underwent tympanoplasty type I or myringoplasty were included and preoperative audiometry were analyzed. Digital image processing was applied in computed tomography for the estimation of middle ear & mastoid pneumatization volume and tympanic membrane photograph for the evaluation of perforation size and location. RESULTS: Preoperative mean ABG increased with perforation size (P=0.018), and correlated inversely with the middle ear & mastoid volume (P=0.005). However, perforations in anterior versus posterior locations showed no significant differences in mean ABG (P=0.924). CONCLUSION: The degree of conductive hearing loss resulting from a tympanic membrane perforation would be expected with the size of perforation and pneumatization of middle ear and mastoid.
Audiometry ; Ear, Middle ; Hearing Loss, Conductive* ; Humans ; Mastoid ; Myringoplasty ; Tympanic Membrane ; Tympanic Membrane Perforation* ; Tympanoplasty

BACKGROUND AND OBJECTIVES: Fat myringoplasty is a simple and safe method for repairing tympanic membrane perforation. The purpose of this study was to investigate the effect of fat myringoplasty accompanied by CO2 laser treatment for the trimming of perforation. MATERIALS AND METHOD: Twenty-one patients diagnosed with the following tympanic membrane perforations were used: 1) Traumatic perforation, 2) Chronic otitis media without active inflammation, 3) Re-perforation after middle ear surgery. The procedure was performed at OPD under local anesthesia while operating a microscope that was adapted to the CO2 laser. RESULTS: The overall success rate was 81 percent (17/21). CONCLUSION: Fat myringoplasty can be recommended for repairing tympanic membrane perforation in traumatic, chronic otitis media and re-perforation after middle ear surgery. Fat myringoplasty was simple and effective on only small perforations ( Anesthesia, Local ; Ear, Middle ; Humans ; Inflammation ; Lasers, Gas* ; Myringoplasty* ; Otitis Media ; Tympanic Membrane ; Tympanic Membrane Perforation

BACKGROUND AND OBJECTIVES: Tympanic membrane perforations are usually caused by trauma, infection, surgical procedures such as tympanoplasty or myringoplasty. Because perforations interfere with the transmission and perception of sound, whatever the cause of the perforation, repair of the membrane is desirable. The purpose of this study is to investigate the clinical application and usefulness of allograft amniotic membrane, instead of autograft materials, in the management of tympanic membrane perforation. SUBJECTS AND METHOD: A retrospective study was performed on 14 patients who underwent myringoplasty with allograft amniotic membrane for tympanic membrane perforation from October 2006 to September 2007. Information was collected on sex, age, the cause of perforation, the perforation size, postoperative hearing result, the success rate. RESULTS: Of 14 patients, 13 patients were successfully treated by myringoplasty with allograft amniotic membrane and one patient failed due to infection. So the overall success rate was 93%. The mean air-bone gap was improved from 13.3 dB to 7.1 dB. CONCLUSION: The myringoplasty with allograft amniotic membrane is a successful procedure for the healing of tympanic membrane perforations.
Amnion ; Hearing ; Humans ; Membranes ; Myringoplasty ; Retrospective Studies ; Transplantation, Homologous ; Tympanic Membrane ; Tympanic Membrane Perforation ; Tympanoplasty

Hemangiomas are well known benign tumors that can occur in any sites of the human body. Although it is relatively common to find hemangiomas occurring in the head and neck areas, it rarely occurs in the external auditory canal. We present a case of capillary hemangioma arising from the external auditory canal with extension onto the adjacent outer layer of the tympanic membrane. It was treated with simple excision and myringoplasty. Early recognition may allow for simple excision without myringoplasty.
Capillaries* ; Ear Canal* ; Head ; Hemangioma ; Hemangioma, Capillary* ; Human Body ; Myringoplasty ; Neck ; Tympanic Membrane

Intratympanic membrane congenital cholesteatoma (ITMCC) is extremely rare in patients without previous trauma or surgery of the ear. There are multiple theories to the pathogenesis of middle ear congenital cholesteatoma but none are applicable for ITMCC. When the size of ITMCC is small, there are usually no ear symptoms. However, surgery is needed early, as in any other type of cholesteatoma, because early treatment before middle ear involvement enables enucleation without the need for other procedures such as myringoplasty. We report an incidental finding of a small pearl at the umbo in a 2-year-old boy. The cholesteatoma involved only the outer epidermic layer of the tympanic membrane (TM). A transcanal approach was performed and the cholesteatoma was enucleated from TM.
Cholesteatoma ; Ear ; Ear, Middle ; Humans ; Incidental Findings ; Membranes ; Myringoplasty ; Preschool Child ; Tympanic Membrane

Tympanic membrane (TM) perforation is common. Acute persistent or chronic TM perforations require surgical interventions such as myringoplasty or tympanoplasty. Current strategies of tissue engineering are focused on the regeneration of TM perforation instead of surgical interventions. To regenerate TM tissue or restore acoustic-mechanical property, bioscaffold or growth factors are necessary that will act as a temporary matrix for cell proliferation and extracellular matrix deposition, with subsequent ingrowths. In recent years, various scaffolds, biomolecules have been used for TM tissue engineering. Cells in combination with supportive scaffolds have rarely reported. TM regeneration by tissue engineering approach may be considered the greatest advances in otology. This review examines the current evidence for their use and the limitations of knowledge.
Cell Proliferation ; Extracellular Matrix ; Intercellular Signaling Peptides and Proteins ; Myringoplasty ; Otolaryngology ; Regeneration* ; Tissue Engineering* ; Tympanic Membrane* ; Tympanoplasty

Tympanic membrane perforations are frequently encountered diseases and can be treated with several different methods, induding tympanoplasty with tympanic membrane grafting which requires more profound techniques and clinical care. A fat graft myringoplasty is a cost-effective techniquc managing small tympanic membrane perforations and is used when challenged by a myringoplasty failure, or following tympanostomy tube extrusion. It involves wedging a piece of fat from the ear lobule into the perforation with local anesthesia in a one-day-stay procedure. This study demonstrates the efficacy of this method in a persistent small tympanic membrane perforation.
Anesthesia, Local ; Ear ; Middle Ear Ventilation ; Myringoplasty* ; Transplants* ; Tympanic Membrane ; Tympanic Membrane Perforation ; Tympanoplasty