MYRINGOPLASTY OF CENTRAL TYMPANIC MEMBRANE PERFORATION WITH A FAT GRAFT FROM THE EAR LOBULE AND PLATELET RICH PLASMA.

Document Type : Original Article

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Abstract

ABSTRACT
Background: Fat myringoplasty had been described over 50 years to be a safe and simple option for
myringoplasty. Platelet rich plasma [PRP] is a simple and minimally invasive method to obtain a high
concentrate of autologous growth factors that can facilitate wound healing.
Objectives: To assess the effectiveness of using fat and PRP in myringoplasty.
Patients and methods: Twenty patients with small to medium sized tympanic membrane perforations were
enrolled in this study. Under local anesthesia, the margin of the perforation was freshened, then a single
piece of ear lobule fat graft, approximately double the size of the perforation, was placed through the
perforation, then the PRP was applied over the fat graft.
Results: Successful TM perforation repair was achieved in 36 ears [85.7%]. 100% success rate was
obtained in small peroration and 79.3%in medium sized perforation. There was significant postoperative
improvement in the mean air bone gap [p = 0.0016].
Conclusion: Adding PRP to fat myringoplasty is a safe, effective, cost saving and minimally invasive
procedure. It is suitable to repair small as well as moderate sized TM perforations.



 

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Zagazig University Medical Journal
Volume 24, Issue 2
March 2018
Pages 143-149

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