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In-Office Paper Patch Placement for Tympanic Membrane Perforation.

Yalda Yazdani1, Karen Tawk1, Abigail Dichter1

  • 1Departments of Otolaryngology-Head and Neck Surgery.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|February 23, 2026
PubMed
Summary
This summary is machine-generated.

Office-based paper patch myringoplasty effectively closes chronic tympanic membrane perforations. Smaller perforation size, anterior/superior location, and younger age predict successful healing outcomes in this minimally invasive procedure.

Keywords:
MyringoplastyPaper patchPerforationTympanic membrane

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Regenerative Medicine

Background:

  • Chronic tympanic membrane (TM) perforations are common, potentially leading to hearing loss and recurrent infections.
  • Traditional surgical repair (myringoplasty) can be invasive and costly.
  • Office-based procedures offer a more accessible treatment option.

Purpose of the Study:

  • To assess the efficacy of office-based paper patch myringoplasty for chronic TM perforations.
  • To identify factors influencing the success rate of this minimally invasive technique.

Main Methods:

  • Retrospective review of 161 patients with chronic, dry, small TM perforations treated between 2016-2022.
  • Procedure involved chemical cautery, edge freshening, and sterile paper patch application under microscopy.
  • Closure assessed via otomicroscopy and tympanometry at 8 weeks; prognostic factors analyzed using logistic regression.

Main Results:

  • Complete closure achieved in 59.8% and partial healing in 12.7% of patients by 8 weeks.
  • Significant predictors of healing included smaller perforation size, anterior/superior location, and younger patient age.
  • No complications were reported, indicating a safe procedure.

Conclusions:

  • Paper patch myringoplasty is a safe, effective, and low-cost outpatient method for small, dry TM perforations.
  • Patient selection based on perforation size, location, and age is crucial for optimal outcomes.
  • This technique supports broader application in suitable cases due to its minimally invasive nature.