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Comparison between regenerative therapy with basic fibroblast growth factor and myringoplasty for tympanic membrane
Yasuhiko Yamashita1, Yohei Noda1, Yu Hirai1
1Department of Otolaryngology-Head and Neck Surgery, Fukuyama City Hospital, Fukuyama, Japan.
Acta Oto-Laryngologica
|January 13, 2026
Summary
Tympanic membrane regeneration therapy offers a less invasive surgical option compared to myringoplasty, with significantly reduced operative time. Patient satisfaction and hearing improvement were notable in the regeneration group.
Area of Science:
- Otolaryngology
- Regenerative Medicine
- Surgical Innovation
Background:
- Tympanic membrane perforation is a common condition requiring surgical intervention.
- Myringoplasty is a traditional surgical approach for tympanic membrane repair.
- Novel regenerative therapies are emerging for tympanic membrane reconstruction.
Purpose of the Study:
- To compare surgical outcomes between tympanic membrane regeneration therapy and myringoplasty.
- To evaluate operative time, closure rates, and hearing improvement.
- To assess patient satisfaction with regenerative therapy.
Main Methods:
- A comparative study involving 23 ears treated with regeneration therapy and 8 ears with myringoplasty.
- Data collected included operative time, closure rates, and postoperative hearing.
- Patient satisfaction was assessed using the Visual Analog Scale (VAS).
Main Results:
- Tympanic membrane regeneration therapy showed a statistically significant reduction in operative time compared to myringoplasty.
- No other statistically significant differences were observed in closure rates or hearing improvement.
- The regeneration group reported an average hearing improvement of 62.7 and overall satisfaction of 77.5 (VAS).
Conclusions:
- Tympanic membrane regeneration therapy presents a promising, less invasive alternative to myringoplasty.
- The reduced operative time makes regeneration therapy an attractive option.
- Further research may establish regenerative therapy as a standard treatment for tympanic membrane perforations.

