One hundred twenty five fat myringoplasties: does marginal perforation matter?

This study was conducted, from 1st January 2008 to 31 December 2015 at our Otolaryngology Department of S.G. Moscati Hospital. The investigation included 125 patients, 60 males and 65 females, affected by COM who have undergone fat graft myringoplasty between 01/01/2008 to 31/12/2011. The average age of patients was 46 years (ranged 18 – 80).The patients were selected consecutively. For all the procedures the last otomicroscopic control was performed in 2015. Follow‐up studies were done at 3 days, 7 days, 1 month, 3 months, 6 months and then once a year(mean follow‐up 5.5 years, range 4‐7 years). Informed consent was obtained after discussion of the alternative solutions. The consent of our institutional ethic committee was obtained. The inclusion criteria were the following: none previously ear surgery, dry ear at the time of surgery, persistent perforation for at least 6 months, absence of granulomatous tissue and cholesteatoma, perforation size of up to 35% of the eardrum surface, absence of ossicular chain damage. All patients who met inclusion criteria were enrolled. All patients included in the study accepted to be controlled for the entire follow‐up. On the basis of tympanic membrane characteristics the study group was divided into 3 groups and 4 sub‐groups: Group A (n=67) the fat myringoplasty was performed following the traditional indications, Group B(n=31) marginal perforations in which one side of the perforation is the fibrous annulus, was divided in ...
Source: Clinical Otolaryngology - Category: ENT & OMF Authors: Tags: Our Experience Source Type: research