Comparison of paper‐patch, fat, and perichondrium myringoplasty in repair of small tympanic membrane perforations

Abstract

Three techniques were found to be feasible for tympanic membrane perforations smaller than 3 mm.

Clinical Analysis of Paper Patch Myringoplasty in Patients with Tympanic Membrane Perforations

“…The use of paper patches in an outpatient setting has been a widely used technique for many decades. Several studies have demonstrated that paper patches can be used to promote the healing of perforated TMs while avoiding a formal surgical procedure [1,5] . The size of TM perforation has been reported as the prognostic indicator for successful patch myringoplasty.…”

Outcome of tympanic membrane defect repair with fat and tetrachlorodecaoxide

“…Kwong, Smith and Coticchia (2) (2012), Fat graft myringoplasty using umbilical fat was a safe and successful Procedure for TM repair and achieved an overall 100% rate for success in TM closure Dursunet al (3) (2008) added that "There was no statistically significant difference among closure rates of the perforations in the paper-patch, fat, and perichondrium myringoplasty with regard to size and these three techniques were found to be feasible for tympanic membrane perforations smaller than 3 mm.". Konstantinidiset al (2010) (5) concluded that fat myringoplasty achieved high success rates especially in cases of small perforations.…”

A Study on Closure of Tympanic Membrane by 10% Tca

“…(4.5) Procedure was done under local anesthesia with 4% xylocane on tympanic membrane with cotton ball for 30 minutes, (6) 10% TCA is kept on the rim of tympanic membrane with care taken not to scar promontory. (7) Procedure repeated after every 10-14 days after closure PTA is done.…”

“…This is a contributing factor for a perforation to persist and was observed by Dunlop and Schuknecht in 1947. (6,15,16) The principle of chemical cauterization is that when on application, it breaks up fibrosis, promotes granulation and new tissue formation at the margin of the perforation. The patch acts as a splint to bridge the margins of the perforation.…”