Middle Ear Packing and External Ear Packing With Fibrin Glue Enhance the Success of Fat Myringoplasty Without Hyaluronic Acid Disc

KIM, JONGMIN; PARK, HYUNG-JOO; LEE, DAE-NEUNG; Jang, Chul Ho

doi:10.21873/invivo.12729

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Myringoplasty may be performed using either the overlay method or the underlay technique, both of which provide acceptable outcomes; however, the underlay approach performs somewhat better. Because it is technically straightforward, the underlay approach should be favored; nevertheless, the choice of technique will ultimately rely on the surgeon's preferences and the location of the hole (1,2) . The kind of graft material utilized in myringoplasties was another deciding factor.…”

Section: Introductionmentioning

confidence: 99%

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

Qureshi,

Khan,

Saleem

et al. 2023

PJMHS

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Objective: The study's goal is to evaluate the success rates of graft uptake in platelet-rich fibrin-assisted underlay myringoplasties employing temporalis fascia grafts to those in traditional underlay myringoplasties. Methods: This study was conducted in Mayo Hospital in Lahore's ENT department carried out this double-blind, randomized, controlled trial investigation. We recruited 60 individuals with dry central tympanic membrane perforations. Patients with co-morbidities such as diabetes and sensorineural hearing loss were not included. Probability basic random sampling was used. The patients were split into two groups using a lottery system. With the help of SPSS version 26, statistical analysis was carried out. The P-value was calculated using the chi-square test. Results: There were 60 patients, of whom 38 were males and 22 were women. The control group's average age was 27.53 ± 11.41 years, but the study group's average age (Fibrin) was 31.77 ± 12.43 years. At the 2-month follow-up, the grafts were successfully absorbed by every patient in the platelet-rich fibrin group. 23 out of 30 patients in the control group who underwent the conventional method successfully absorbed their grafts, however, the remaining 7 patients had different issues that led to graft rejection. Practical Implication: The tympanic membrane would mend more quickly if platelet-rich fibrin was used after ear procedures. Fibrin glue in tympanoplasty has been tried in several locations throughout the globe. [7,8] When concentrated fibrinogen solutions are combined with thrombin, fibrin glue is created. It may also be made from platelet-rich plasma. Our research compares platelet-rich fibrin-assisted underlay myringoplasties employing temporalis fascia grafts to traditional underlay myringoplasties to see which has a higher graft uptake success rate. Conclusions: The use of platelet-rich fibrin on the anterior ligament grafting line and perforation edges during underlay myringoplasty has greatly increased the success rate of the graft. Keywords: platelet-rich fibrin, temporal fascia graft, myringoplasty

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Section: Introductionmentioning

confidence: 99%

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

Qureshi,

Khan,

Saleem

et al. 2023

PJMHS

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Evaluating the Necessity of Ear Packing After Otologic Surgery: A Randomized Controlled Trial

Tabaru,

Gencer,

Ogreden

et al. 2024

Otol Neurotol

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Objective This study aims to evaluate the necessity of ear packing in otological operations where the annulus fibrosus is not elevated, focusing on graft success rates and postoperative hearing outcomes. Methods A randomized controlled prospective clinical trial was conducted at a tertiary care hospital involving 200 patients aged 18 years and above undergoing myringoplasty for inactive chronic suppurative otitis media. Patients were randomly assigned to receive either ear packing with absorbable gelatin sponge (Gelfoam®) or no packing. The primary outcome is graft success assessed via microscopic examination at 3 and 6 months post-surgery. Secondary outcomes include hearing gains measured by pure-tone audiometry at 500-, 1000-, 2000-, and 4000-Hz frequencies. Results At 3 months, the graft take rate was 92% in the ear packing group and 90% in the no packing group, with no statistically significant difference (p = 0.63). At 6 months, the graft take rate was 90% in the packing group and 88% in the no packing group (p = 0.67). Hearing improvements, as measured by air conduction thresholds, were also similar between the two groups (p = 0.73). Conclusion This study demonstrates that myringoplasty without ear packing yields comparable graft take rates and hearing improvements to traditional myringoplasty with ear packing. These findings suggest that omitting ear packing in appropriate cases may simplify the procedure without compromising patient outcomes.

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Middle Ear Packing and External Ear Packing With Fibrin Glue Enhance the Success of Fat Myringoplasty Without Hyaluronic Acid Disc

Cited by 2 publications

References 22 publications

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

Evaluating the Necessity of Ear Packing After Otologic Surgery: A Randomized Controlled Trial

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