Influence of size and site of perforation on fat graft myringoplasty

Gün, Taylan; Sözen, Tevfik; Boztepe, Osman Fatih; Gür, Özer Erdem; Muluk, Nuray Bayar; Cingi, Cemal

doi:10.1016/j.anl.2014.08.004

Cited by 36 publications

(39 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This bulky appearance obscures the TM vibration, and also it is impossible to create a flat TM after FGM [9] . Gun et al [5] confirmed the finding of a bulky appearance and that the audiological results of the large perforation group were worse than for the small perforation group. This study also confirms the finding of a bulky appearance and its relation to the bad audiological results of the FGM procedure for large TM perforations (Figure 1).…”

Section: Discussionmentioning

confidence: 77%

“…Ringenberg was the first surgeon to use fat tissue for the closure of perforations of TM in 1962 [3] . Other studies also confirmed the efficacy of fat grafts for the reconstruction of TM [3][4][5][6][7][8][9][10][11] . Hyaluronic acid (HA) ester was first used in its liquid form for middle ear packaging in otologic practice [12][13][14] .…”

Section: Introductionmentioning

confidence: 67%

“…However, some other authors, such as Gun et al [5] , Landsberg et al [8] and Kim et al [9] , used the FGM technique in the repair of small versus large TM perforations and reported no significant difference . They also postulated that the fat graft just needs an oval surface to stick, regardless of size [5,8,9] . The overall success rate of the FGM procedure in this study was found to be 88%.…”

Section: Discussionmentioning

confidence: 99%

“…These are an inefficient graft support, defective anterior view, and poor vascular supply [2,4,5,7,8] . Ayache et al [7] and Kim et al [9] reported that the perforation site was not an important factor for the success of the FGM procedure.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of Hyaluronic Acid Fat Graft Myringoplasty, Fat Graft Myringoplasty and Temporal Fascia Techniques for the Closure of Different Sizes and Sites of Tympanic Membrane Perforations

Gün¹,

Boztepe²,

Atan³

et al. 2016

Int Adv Otol

Self Cite

View full text Add to dashboard Cite

OBJECTIVE:To compare the efficacy of three different myringoplasty techniques, namely hyaluronic acid fat graft myringoplasty (HAFGM), fat graft myringoplasty (FGM), and temporal fascia for the closure of different sizes and sites of tympanic membrane perforations. MATERIALS and METHODS:We retrospectively analyzed the medical records of patients who had undergone a type 1 tympanoplasty operation at our clinic between May 2007 and February 2013. The patients were divided into three groups depending on the patient's choice of technique as follows: Fat Graft Myringoplasty (FGM) (Group I), Hyaluronic Acid Fat Graft Myringoplasty (HAFGM) (Group II), and Temporalis Fascia (TF) (Group III). A total of 136 patients were included in the study, split in to the FGM (57 patients; 56.1% female; median age: 30 years), HAFGM (31 patients; 54.8 female; median age: 25 years), and TF (48 patients; 58.3% females; median age: 33 years) surgery technique groups. RESULTS:The patients were further divided into two groups, depending on the size of the perforation (small and large), and into three groups, depending on its location (anterior, inferior, and central). None of techniques provided a significantly better success rate in terms of perforation location (p>0.05). Also, none of the techniques provided a significantly better success rate in terms of perforation size (p>0.05). CONCLUSION:We propose using HAFGM for large perforations and FGM alone for small perforations. The TF technique is a successful and well-defined technique for tympanic membrane perforations; however, in our opinion, its technical difficulties make it a secondary choice, particularly for small-sized perforations.

show abstract

Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Hyaluronic Acid Fat Graft Myringoplasty, Fat Graft Myringoplasty and Temporal Fascia Techniques for the Closure of Different Sizes and Sites of Tympanic Membrane Perforations

Gün¹,

Boztepe²,

Atan³

et al. 2016

Int Adv Otol

Self Cite

View full text Add to dashboard Cite

show abstract

“…4 Gun et al confirmed the finding that audiological results of the large perforation were worse than small perforation. 17 Dedden, et al found that the size of the perforation is a crucial factor and >30% of the TM perforations have bad prognostic factor for the fat graft. 18 Other autologous graft material such as temporalis fascia (TF) is widely used material for myringoplasty.…”

Section: No Of Casesmentioning

confidence: 99%

The efficacy of fat myringoplasty in small central perforation of pars tensa

Gangwani

Ambani

Vakharia

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: In the present study, an attempt was made to study the effectiveness of fat graft material and the improvement in hearing following fat myringoplasty in small central perforations of pars tensa.Methods: This prospective study was carried out in our tertiary centre between October 2014 to October 2015 in 38 patients selected randomly who attended our ENT OPD. Patients with tubotympanic type of chronic suppurative otitis media CSOM (TT), with dry small central perforation involving less than 25% of tympanic membrane (TM) were included. Patients with ossicular fixation or disruption with air bone gap (ABG) >40dB were excluded. All procedures were performed under local anesthesia (LA). Fat graft was harvested from ear lobule and was placed through endomeatal microscopic approach after freshening perforation margin. All patients were followed up to 5months postoperative period and graft status and audiological assessment was made. Results: In 86.8% cases (33 patients) graft was taken up while in 13.2% cases (5 patients) graft was not taken up. Mean pre-operative air conduction in right/left ear was 28.5±7.6/27.1±8.5 and post-operative was 24.9±5.3/23.4±6.9 dB respectively. Similarly, it was seen that mean pre-operative air bone gap in right/left ear was 17.6±7.2/17.0±7.4 and post-operative was 14.0±5.3/13.2±6 dB respectively.Conclusions: It is a very safe, simpler procedure and in this we don’t disturb the annulus so the chance of lateralization or medialization of graft is nil. During fat myringoplasty the angle of tympanic membrane and anterior recess is maintained in natural position and we don’t disturb acoustics, so fat myringoplasty is an excellent option especially for small perforation.

show abstract