Tympanoplastik mit autologem Fettgewebe

Hagemann, Matthias; Häusler, Robert

doi:10.1055/s-2003-40537

Cited by 10 publications

(2 citation statements)

References 2 publications

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“…Previous literature showed wide variations of postoperative hearing improvements. While Hagemann and Housler [15] in 2003 had 21 patients with hearing improvement of their 44 patients (47.72%), Liew et al [16] recorded an improvement in 11 of their 15 patients (73.3%). In group 2 with IBCG 16 patients had hearing improvement (80%).…”

Section: Discussionmentioning

confidence: 97%

Comparative study between fat plug and inlay butterfly cartilage grafts for myringoplasty in adults

Khafagy

El-Begermy

et al. 2021

Egypt J Otolaryngol

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Background This study aims to compare the graft uptake rate and hearing improvement of fat graft versus inlay butterfly tragal cartilage in the repair of perforations in chronic otitis media mucosal in adults. In this retrospective study, twenty-eight patients were included with small dry anteroinferior tympanic membrane perforations (less than 1/3 of the tympanic membrane). The age range was 18 to 44 years old. Myringoplasty was done under general anesthesia for 8 patients with a fat graft (FG) and 20 patients with inlay butterfly cartilage graft (IBCG). Six months postoperatively, a follow-up evaluation was done for successful graft uptake and hearing outcomes. Results The success rate of graft uptake in the first group (fat graft) was 6/8 cases (75%) while in the second group (IBCG) was 19/20 (95%) with no statistically significant difference (P = 0.0148). Also, there was no statistical difference between the two groups as regards postoperative ABG, improvement changes in ABG, and number of patients with improved hearing. Conclusions Inlay butterfly cartilage graft is a useful graft in repairing small tympanic membrane perforations as regard graft take and hearing outcomes.

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Section: Discussionmentioning

confidence: 97%

Comparative study between fat plug and inlay butterfly cartilage grafts for myringoplasty in adults

Khafagy

El-Begermy

et al. 2021

Egypt J Otolaryngol

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“…[21][22][23][24][25] Schraff et al 26 recommended this type of material for repair of perforations after myringotomy tubes forming 15% to 40% of the total surface of the TM. Deddens et al 21 and Hagemann 27 consider FG to be the material of choice for repair of small perforations, especially after grommet insertion, and others agree that this material is underused. 9,28 Even though TF is the most widely used material, we prefer the FG because it can be harvested more easily and faster.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Follow-Up After Fat Graft Myringoplasty: Do Size and Location Matter?

et al. 2020

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Objective: To assess clinical and functional outcomes of a fat graft myringoplasty under local in an office setting. Study Design: Prospective case series. Setting: Tertiary care facility. Patients: Patients with a tympanic membrane (TM) perforation presenting between December 2005 and June 2019. Inclusion criteria included perforation size >25% of the surface of the pars tensa of the TM, entire perforation margins visualized through a transcanal view, and lack of spontaneous closure at the 6-month follow-up. The exclusion criteria were the presence of cholesteatoma, wet appearance of the mucosa in the tympanic cavity, ear discharge in the 3 months before surgery, or signs of ossicular inconsistency. Intervention: In-office fat graft myringoplasty technique under local anesthesia. Main outcome Measures: Complete perforation closure rate and audiometric outcomes. Results: A total of 121 patients underwent the procedure, of whom 21 had bilateral sequential procedures (total 142 ears). Average age was 51.1 ± 18.4 years (range, 3-78 years). The size of perforation was <25% of TM in 39 (27.5%) ears, 25% to 50% of TM in 49 (34.55%) ears, 50% to 75% of TM in 34 (23.91%) ears, and 75% to 100% of TM in 20 (14.10%) ears. Complete perforation closure was evident in 130 (91.55%) of the 142 ears. Preoperative mean air conduction threshold was 59.3 dB (17-95 dB) and significantly improved into 35.6 dB (10-85 dB; P < .0004) after surgery. Preoperative air–bone gap was 30.2 dB (5-70 dB) and also significantly improved into 10.2 dB (5-65 dB; P < .0001) after surgery. Conclusion: In office fat graft myringoplasty, in adult and pediatric patients with variable perforation sizes, is a well-tolerated procedure with very satisfactory clinical results.

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The selection and strategy in otoendoscopic myringoplasty with autogenous adipose tissue

Yang

Liu

et al. 2010

Indian J Otolaryngol Head Neck Surg

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Tympanoplastik mit autologem Fettgewebe

Abstract: Our results indicate that transcanal myringoplasty with adipose tissue is a simple and minimally invasive method for closing small to medium sized tympanic membrane perforations.

Cited by 10 publications

References 2 publications

Comparative study between fat plug and inlay butterfly cartilage grafts for myringoplasty in adults

Comparative study between fat plug and inlay butterfly cartilage grafts for myringoplasty in adults

Long-Term Follow-Up After Fat Graft Myringoplasty: Do Size and Location Matter?

The selection and strategy in otoendoscopic myringoplasty with autogenous adipose tissue

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