Fat Graft Myringoplasty versus Chemical Cauterization in Small Tympanic Membrane Perforation:A Comparative Study
Introduction : Tympanic membrane perforation is mostly due to infection, trauma or post tympanostomy tube insertion. A variety of autografts have been used for closure of tympanic membrane perforation such as perichondrium. temporalis fascia, cartilage fat, platelet rich plasma, and chemical cau...
| Published in: | Bengal Journal of Otolaryngology and Head Neck Surgery |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Published: |
The Association of Otolaryngologists of India, West Bengal
2024-11-01
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| Subjects: | |
| Online Access: | https://bjohns.in/journal23/index.php/bjohns/article/view/62 |
| Summary: | Introduction :
Tympanic membrane perforation is mostly due to infection, trauma or post tympanostomy tube insertion. A variety of autografts have been used for closure of tympanic membrane perforation such as perichondrium. temporalis fascia, cartilage fat, platelet rich plasma, and chemical cauterization.
Material and Method : A Prospective, Comparative and Randomized study . Eighty Patients visiting E.N.T Outpatient department at tertiary care center were selected fulfilling the inclusion criteria and exclusion criteria.
Results :
Out of 43 patients in fat graft myringoplasty, the surgery was successful in 39 (90.70%) patients. However, the success rate in chemical cauterization was found to be 88% (in 37 out of 42 patients). Overall success rate is 89.40% (in 76 out of 85).
Conclusion :
Fat graft myringoplasty and chemical cauterization are strongly recommended for closure of small tympanic membrane perforations; however multiple sittings are required for chemical cauterization
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| ISSN: | 2395-2393 2395-2407 |