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[Tympanoplasty with adipose tissue].

M Hagemann1, R Häusler

  • 1Klinik für HNO, Hals- und Kopfchirurgie, Inselspital, Universität Bern, Switzerland.

Laryngo- Rhino- Otologie
|July 10, 2003
PubMed
Summary

Autologous fat tissue offers a simple, minimally invasive approach for tympanic membrane perforation repair. This study shows a 91% success rate for myringoplasty using adipose tissue, with no complications.

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Regenerative Medicine

Background:

  • Autologous fat tissue is a viable material for tympanic membrane perforation closure.
  • This study evaluated 44 consecutive myringoplasties utilizing adipose tissue between 1999 and 2001.

Purpose of the Study:

  • To assess the efficacy and safety of autologous fat tissue in myringoplasty.
  • To determine the success rate and potential hearing improvement following adipose tissue graft myringoplasty.

Main Methods:

  • Transcanal myringoplasty using autologous adipose tissue harvested from the ear lobe.
  • Procedure performed as a 15-minute outpatient procedure under local anesthesia.
  • Adipose tissue graft secured and covered with a silk strip; gelfoam used for larger perforations.

Main Results:

  • Successful permanent healing of the tympanic membrane achieved in 91% (40/44) of patients.
  • Hearing improvement of 5-10 dB observed in 21 patients.
  • No surgical complications were reported during the study period.

Conclusions:

  • Transcanal myringoplasty with adipose tissue is a simple and minimally invasive technique.
  • Effective for closing small to medium-sized tympanic membrane perforations.
  • Offers a safe and successful alternative for tympanic membrane repair.

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