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Outcomes of Minimally Invasive Tympanoplasty: Fat Graft Myringoplasty
Aakanksha Rawat1, Pankhuri Mittal1, Ruchika Aggarwal1
1Department of Otorhinolaryngology, AIIMS Gorakhpur, India.
Introduction:
Fat tympanoplasty is repair of small dry tympanic membrane perforations using fat as graft material. It is a simple office procedure with minimal morbidity and manipulation of the middle ear.
Materials And Methods:
The present study was a prospective review of 60 patients who underwent fat tympanoplasty over the period of 15 months. In all the patients fat was harvested from ear lobule.
Results:
Patients were kept on follow up for 3 months and evaluated for graft uptake and hearing gain. 86.66% closure rate of tympanic membrane defect was achieved. Postoperative air conduction was 29.6 ± 5.3 while air bone gap was 13.2 ± 6.1.
Conclusion:
The study concludes that fat plug myringoplasty is a simple, quick, less invasive method to repair small tympanic membrane defects.
Insights
Fat tympanoplasty effectively repairs small tympanic membrane perforations using ear lobule fat. This minimally invasive office procedure achieved an 86.66% closure rate, offering a simple solution for ear conditions.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Tympanic membrane perforations are common ear conditions.
- Traditional tympanoplasty can involve significant middle ear manipulation.
Purpose of the Study:
- To evaluate the efficacy of fat tympanoplasty for small tympanic membrane perforations.
- To assess graft uptake and hearing improvement after the procedure.
Main Methods:
- Prospective review of 60 patients undergoing fat tympanoplasty.
- Fat graft harvested from the ear lobule.
- 3-month follow-up for graft success and audiological assessment.
Main Results:
- Achieved an 86.66% closure rate of tympanic membrane defects.
- Postoperative air conduction averaged 29.6 ± 5.3 dB.
- Postoperative air-bone gap averaged 13.2 ± 6.1 dB.
Conclusions:
- Fat tympanoplasty is a simple, quick, and less invasive method for repairing small tympanic membrane defects.
- Demonstrates high success rates for perforation closure and hearing gain.
