Department of Otorhinolaryngology, AIIMS Gorakhpur, India.
10.22038/ijorl.2024.77219.3585
Abstract
Introduction: Fat tympanoplasty is repair of small dry tympanic membrane perforations using fat as graft material. It is a simple office procedure with minimal morbidity and manipulation of the middle ear. Materials and Methods: The present study was a prospective review of 60 patients who underwent fat tympanoplasty over the period of 15 months. In all the patients fat was harvested from ear lobule. Results: Patients were kept on follow up for 3 months and evaluated for graft uptake and hearing gain. 86.66% closure rate of tympanic membrane defect was achieved. Postoperative air conduction was 29.6 ± 5.3 while air bone gap was 13.2 ± 6.1. Conclusion: The study concludes that fat plug myringoplasty is a simple, quick, less invasive method to repair small tympanic membrane defects.
Kim DK, Park SN, Yeo SW, Kim EH, Kim JE, Kim BY, et al.Clinical efficacy of fat-graft myringoplasty for perforations of different sizes and locations. Acta Otolaryngol. 2011; 131:22-6.
Saliba I. Hyaluronic acid fat myringoplasty: how we do it. Clin Otolaryngol.2009;33(6):610-4.
Fiorino F, Barbieri F. Fat graft myringoplasty after unsuccessful tympanic membrane repair. Eur Arch Otorhinolaryngol. 2007; 264:1125-8.
Hagemann M, Hausler R. Tympanoplasty with adipose tissue. Laryngorhinootologie. 2003; 82(6): 393-6.
Liew L,Daudia A, Narula AA.Synchronous fat plug myringoplasty and tympanostomy tube removal in the management of refractory otorrhoea in younger International journal of paediatric Otorhinolaryngology. 2002; 66:291-6.
Ozgursoy OB, YorulmazI. Fat graft myringoplasty: a cost-effective but underused procedure. J Laryngol Otol. 2005; 119:277-9.
Gross CW, Bassila M, Lazar RH, Long TE, Stagner S. Adipose plug myringoplasty: an alternative to formal myringoplasty techniques in children. Otolaryngol Head Neck Surg 1989;101:617–20.
De S, Karkanevatos A, Srinivasan VR, Roland NJ, Lesser TH. Myringoplasty using a subcutaneous soft tissue graft. Clin Otolaryngol Allied Sci 2004; 29: 314-317.
Kaddour HS. Myringoplasty under local anaesthesia: day case surgery. Clin Otolaryngol Allied Sci 1992; 17:567-568.
Ringenberg JC. Closure of tympanic membrane perforations by the use of fat. Laryngoscope. 1978; 88: 982-93.
Terry RM, Bellini MJ, Clayton MI, Gandhi AG. Fat graft myringoplasty- a prospective trial. Clin Otolaryngol Allied SCI 1998; 13:227-229.
Al-qahtani B, Al Tuwajiri M, Al Mokhatrish M. Fat myringoplasty and its impact on the Hearing Mechanism of Middle Ear. Int J Otorhinolaryngol Clin 2015;7(3):138-140.
Ambani KP, Gangwani RW, Bhavya BM, Vakhariya SD, Kataria AU. A comparative study between fat myringoplasty and temporalis fascia tympanoplasty in moderate to large central perforation of pars tension tympanic membrane. Int J Otorhinolaryngol Head Neck Surg. 2017 Oct; 3(4): 997-1001.
Mahajan R, Mahajan N, Kour B. Fat graft myringoplasty: A clinical study and review of literature. Indian K Med Sci 2021; 73:340-2.
Gangwani RW, Ambani KP, Vakharia SD, Bhavya BM, Kaatarkar AU. The efficacy of fat myringoplasty in small central perforation of pars tensa. Int J Otorhinolaryngol Head Neck Surg 2017; 3: 359-63.
Kim DK, Park SN, Yeo SW, Kim EH, Kim JE, Kim BY, et al. Clinical efficacy of fat-graft myringoplasty for perforations of different sizes and locations. Acta Otolaryngol. 2011; 131:22-6.
Gun T,Sozen T,Baztepe OF, Gur OE, Muluk NB, Cingi C. Influence of size and site of perforation on fat myringoplasty. Auris Nasus Larynx. 2014;41: 507-12.
Rawat, A., Mittal, P., Aggarwal, R. (2024). 'Outcomes of Minimally Invasive Tympanoplasty: Fat Graft Myringoplasty', Iranian Journal of Otorhinolaryngology, 36(4), pp. 545-550. doi: 10.22038/ijorl.2024.77219.3585
VANCOUVER
Rawat, A., Mittal, P., Aggarwal, R. Outcomes of Minimally Invasive Tympanoplasty: Fat Graft Myringoplasty. Iranian Journal of Otorhinolaryngology, 2024; 36(4): 545-550. doi: 10.22038/ijorl.2024.77219.3585