Related Experiment Video
Updated: May 22, 2026
07:57
An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
Fat graft myringoplasty using umbilical fat
Kelvin M Kwong1, Matthew M Smith, James M Coticchia
1Department of Otolaryngology-Head & Neck Surgery, Wayne State University School of Medicine, Detroit, MI 48201, USA. kmtkwong@gmail.com
Summary
Umbilical fat grafts offer a safe and effective method for pediatric myringoplasty, achieving 100% tympanic membrane closure success. This technique provides a viable alternative for tympanic membrane repair in children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Regenerative Medicine
Background:
- Myringoplasty is a common otolaryngologic procedure for tympanic membrane (TM) perforations in children.
- Various autografts like fascia and cartilage are used, with fat grafts showing high success rates (80-90%).
- Traditionally, fat grafts are harvested from the ear or post-auricular region.
Purpose of the Study:
- To describe the techniques and outcomes of using umbilical fat for pediatric myringoplasty.
- To evaluate the efficacy of umbilical fat as a graft material in myringoplasty.
Main Methods:
- Retrospective review of 28 pediatric cases undergoing umbilical fat-graft myringoplasty (June 2008 - January 2011).
- Assessment of successful tympanic membrane closure rates.
- Literature review comparing umbilical fat graft outcomes with auricular fat grafts.
Main Results:
- Achieved a 100% rate of successful tympanic membrane closure.
- Average follow-up duration was 8 months (range: 3-26 months).
- Umbilical fat demonstrated potential advantages for myringoplasty, supported by literature review.
Conclusions:
- Umbilical fat patch myringoplasty is a safe and highly successful procedure for pediatric tympanic membrane repair.
- This technique offers a promising alternative graft source for myringoplasty.
