Fat-plug myringoplasty of ear lobule vs abdominal donor sites

The purpose of this study is to compare the success rates of fat-graft myringoplasties harvesting adipose grafts from different donor sites (ear lobule vs abdomen). The clinical records of 61 patients (24 males and 37 females) who underwent fat-plug myringoplasty (FPM) were reviewed retrospectively....

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2015-04, Vol.272 (4), p.861-866
Main Authors: Acar, Mustafa, Yazıcı, Demet, San, Turhan, Muluk, Nuray Bayar, Cingi, Cemal
Format: Article
Language:English
Subjects:
Abdominal Wall - surgery
Adipose Tissue - transplantation
Adult
Autografts
Cost-Benefit Analysis
Ear Auricle - surgery
Ear, Middle - surgery
Female
Head and Neck Surgery
Hearing Tests
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Myringoplasty - adverse effects
Myringoplasty - economics
Myringoplasty - methods
Neurosurgery
Otology
Otorhinolaryngology
Patient Selection
Postoperative Care
Reproducibility of Results
Retrospective Studies
Transplant Donor Site - surgery
Tympanic Membrane - pathology
Tympanic Membrane - surgery
Tympanic Membrane Perforation - diagnosis
Tympanic Membrane Perforation - surgery
Wound Healing
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Summary:The purpose of this study is to compare the success rates of fat-graft myringoplasties harvesting adipose grafts from different donor sites (ear lobule vs abdomen). The clinical records of 61 patients (24 males and 37 females) who underwent fat-plug myringoplasty (FPM) were reviewed retrospectively. Fat from ear lobule (FEL) and abdominal fat were used as graft materials. The impact of age, gender, systemic diseases, topography of the perforation, utilization of fat graft materials of different origin on the tympanic membrane closure rate and the effect of FPM on hearing gain was analyzed. Our tympanic membrane (TM) closure rate was 82 %. No statistical significant difference was observed regarding age, gender, comorbidities (septal deviation, hypertension and diabetes mellitus) or habits (smoking). Posterior TM perforations had significantly lower healing rate. The change in TM closure rate considering different adipose tissue donor sites was not statistically significant. The hearing gain of the patients was mostly below 20 dB. Fat-plug myringoplasty (FPM) is a safe, cost-effective and easy operation for selected patients. Abdominal fat graft is as effective as ear lobe fat graft on tympanic membrane healing, has cosmetic advantages and should be taken into consideration when planning fat as the graft source.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-014-2890-0