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Fat graft myringoplasty in children--a safe and successful day-stay procedure
R B Mitchell1, K D Pereira, R H Lazar
1Le Bonheur Childrens Medical Center, Memphis 38105, Tennessee, USA.
Insights
Day-stay fat graft myringoplasty successfully closed tympanic membrane perforations in 92% of children. This safe procedure resulted in a dry ear for most pediatric patients, with few needing further intervention for otitis media with effusion.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Innovation
Background:
- Surgical closure of dry tympanic membrane perforations in children lacks consensus on optimal techniques and graft materials.
- Success rates for pediatric myringoplasty vary, contributing to ongoing debate.
Purpose of the Study:
- To evaluate the safety and efficacy of day-stay fat graft myringoplasty for pediatric tympanic membrane perforations.
- To determine the success rate and identify factors influencing outcomes in children undergoing this procedure.
Main Methods:
- A retrospective review of 342 children undergoing day-stay fat graft myringoplasty over six years.
- Analysis of surgical outcomes, including perforation closure rates and need for subsequent ventilation tubes.
Main Results:
- Successful tympanic membrane closure was achieved in 92% of cases.
- Recurrent otitis media with effusion necessitating ventilation tubes occurred in 12% of patients.
- No correlation was found between patient age and surgical success.
Conclusions:
- Day-stay fat graft myringoplasty is a safe and effective surgical option for pediatric tympanic membrane perforations.
- The procedure reliably results in a dry and safe ear in the majority of children.
- This approach offers a successful day-stay surgical solution for a common pediatric otologic condition.
Abstract:
The surgical closure of dry tympanic membrane perforations in children remains a controversial issue due to conflicting opinions on the appropriate technique, graft material and success rate. We present a review of 342 children who underwent fat graft myringoplasty as a day-stay procedure over a six-year period. Successful closure of the tympanic membrane perforation was achieved in 92 per cent of ears. Subsequent recurrent otitis media with effusion required insertion of ventilation tubes in 12 per cent. No relationship was observed between the age of the child and a successful outcome. We conclude that day-stay fat graft myringoplasty is a safe and successful procedure which results in a dry and safe ear in the majority of children.