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Adipose graft: an original option in myringoplasty
S Ayache1, F Braccini, F Facon
1Otorhinolaryngology and Cervical and Facial Surgery Federation, La Timone Hospital, Marseille Cedex, France.
Objective:
To describe the fat graft as a reconstructive material in myringoplasty.
Method:
In a review of 45 patients conducted between 1993 and 1999, the authors analyzed their patients' outcomes after having myringoplasties with fat graft. Median follow-up was 2.5 years (range, 6 mo-6 yr).
Results:
We achieved a success rate of 91.1%. Different features of the patient and the tympanic perforation were studied to demonstrate their role in the quality of the surgical closing. A review of the literature was done to compare our results with the results of other series using this type of graft as well as with studies of the temporalis fascia as a graft material.
Conclusion:
The high reliability of the fat graft and the technical simplicity of this procedure in anterior perforations, especially with the use of intraoperative endoscopy, make it an attractive technique.