FAT PLUG MYRINGOPLASTY: ANALYSIS OF A SAFE PROCEDURE FOR SMALL TYMPANIC PERFORATIONS
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Objective: Assessment of value of fat plug myringoplasty as office-based procedure small tympanic membrane perforations.
Material and Methods: Prospective study of consecutive patients undergoing fat pluc myringoplasty under local anesthesia. Minimum follow-up considered was 6 months which included several microscopic examinations. All data were recorded and analyze statistically.
Results: 33 patients matched the inclusion criteria; the mean perforation size was mm. No change in PTA was noted after surgery in the whole series. Recurrence of per foration was detected in 7 cases (21%), which was statistically related with the causi of perforation rather than location or size (p-value <0.01).
Conclusions: Fat plug myringoplasty is a safe procedure with very low rate of compli cations, and it is an office-based procedure well tolerate by all patients. Results in case of primary surgery are excellent, with a high success rate (90%). In case of recurren perforation after traditional surgery, success rate get decreased.
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