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Year : 2013  |  Volume : 15  |  Issue : 2  |  Page : 27-31

Fat graft myringoplasty: Simple, fast and reliable technique

1 Department of ORL & Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia
2 Department of Otolaryngology& Head and Neck Surgery, La Timone University Hospital Center, Marseille, Fance

Correspondence Address:
M.D Badi Aldosari
24 BD Mireille Lauze 13010 Marseille
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.290345

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Objective: The aim of this study was to present our results of fat graft myringoplasty. Due to its simplicity and reliability, this technique seems to be as efficient as other classical graft techniques. Patients and Methods: We analyzed data from 131 patients operated in our hospital for a tympanic perforation between 2002 and 2010 using an endoscope-guided techniques with adipose graft. Patients were evaluated postoperatively at seven days, one month, three months and one and two years. Criteria of success were the complete closure of the tympanic membrane, absence of lateralization of the tympanic membrane and no audiometric impairment. Results: Treatment was successful in 92 % of adult patients and 94 % of pediatric patients with at least two years follow-up. The failures occurred in patients with contraindications such as myringosclerosis, myringitis and perforation size greater than 50% of the tympanic surface. Conclusions: Endoscopic-guided myringoplasty using an adipose tissue graft is a rapid, safe, reliable and efficient procedure that should be performed in first intention for selected indications .

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