Comparison of paper-patch, fat, and perichondrium myringoplasty ın repair of small tympanic membrane perforations

• Published in: Otolaryngology-head and neck surgery Vol. 138; no. 3; pp. 353 - 356
• Main Authors: Dursun, Engin, Dogru, Salim, Gungor, Atila, Cincik, Hakan, Poyrazoglu, Ethem, Ozdemir, Taner
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA Mosby, Inc 01-03-2008; SAGE Publications
• Subjects: Adipose Tissue - transplantation; Adult; Cartilage - transplantation; Female; Humans; Male; Myringoplasty - methods; Prospective Studies; Tympanic Membrane Perforation - surgery
• ISSN: 0194-5998; 1097-6817
• DOI: 10.1016/j.otohns.2008.01.003

To compare the effectiveness of paper-patch, fat, and perichondrium myringoplasty in the treatment of chronic tympanic membrane perforations smaller than 3 mm.
This investigation included 45 patients with chronic tympanic membrane perforations smaller than 3 mm. The patients were equally divided into 3 main groups according to surgical procedures. Each group consisted of 3 subgroups, which had 1-mm, 2-mm, and 3-mm perforations. The patients underwent paper-patch, fat, or perichondrium myringoplasty via transcanal approach under local anesthesia. Healing of perforation, hearing improvement, and complications were investigated.
Closure rates of the perforations in the paper-patch, fat, and perichondrium myringoplasty groups were 66.7%, 86.7%, and 86.7%, respectively. There were no statistically significant differences in tympanic membrane closure rates between techniques with regard to size.
Three techniques were found to be feasible for tympanic membrane perforations smaller than 3 mm.