Myringoplasty under local anaesthesia: day case surgery

Area of Science:

• Otolaryngology
• Surgical Innovation
• Regenerative Medicine

Background:

• Tympanic membrane perforations are common ear conditions.
• Traditional myringoplasty often requires general anesthesia and longer recovery.
• Minimally invasive techniques are sought for improved patient outcomes.

Purpose of the Study:

• To evaluate the safety, efficacy, and patient satisfaction of fat graft myringoplasty.
• To assess the feasibility of performing fat graft myringoplasty as a day case procedure under local anesthesia.
• To determine the effectiveness of fat graft myringoplasty for small tympanic membrane perforations.

Main Methods:

• Eleven patients underwent fat graft myringoplasty using EMLA cream for local anesthesia.
• The procedure was performed on an outpatient (day case) basis.
• Ten patients were followed up post-operatively for assessment of perforation closure and hearing threshold.

Main Results:

• 80% of tympanic membrane perforations were completely closed at 3 months post-operatively.
• An average improvement of 11 dB in hearing threshold was observed.
• All patients reported satisfaction with the fat graft myringoplasty procedure.

Conclusions:

• Fat graft myringoplasty under local anesthesia as a day case is safe, simple, reliable, and cost-effective.
• The procedure demonstrates high success rates for closure of small perforations (≤30% of the tympanic membrane).
• This technique is a viable and recommended option for managing small tympanic membrane perforations.