Korean J Otorhinolaryngol-Head Neck Surg.  2011 May;54(5):329-333. 10.3342/kjorl-hns.2011.54.5.329.

Comparison of Myringoplasty for the Chronic Small Tympanic Membrane Perforations: Fat versus Perichondrium

• Kim JE
• Oh SK
• Jang WI
• Park YJ
• Park JH
• Park MK
• Lee JD
• Sokeng T

• KMID: 1446502
• DOI: http://doi.org/10.3342/kjorl-hns.2011.54.5.329

Abstract

BACKGROUND AND OBJECTIVES
There are several techniques to perform myringoplasty for tympanic membrane perforations as an outpatient procedure. The aim of this study is to compare the results of fat and perichondrium myringoplasty for the treatment of chronic small tympanic membrane perforations.
SUBJECTS AND METHOD
This investigation included 46 patients with chronic tympanic membrane perforations smaller than 3 mm. The patients were equally divided into 2 main groups according to surgical procedures. The patients underwent fat, or perichondrium myringoplasty without skin incision via transcanal approach under local anesthesia. The healing results of perforation and hearing improvement were investigated.
RESULTS
Closure rates of the perforations in the fat, perichondrium myringoplasty groups were all the same as 87% (20/23). There were no significant differences between techniques in tympanic membrane closure rates with regard to size and location and in hearing improvement. However, the recovery time was a little faster in perichondrium myringoplasty during follow up.
CONCLUSION
Conservative myringoplasty using fat and perichondrium is a feasible procedure that can be perfomed on outpatient basis for chronic small tympanic membrane perforations.

Keyword

Myringoplasty; Tympanic membrane perforation

MeSH Terms

Anesthesia, Local
Hearing
Humans
Myringoplasty
Outpatients
Skin
Tympanic Membrane
Tympanic Membrane Perforation