[The effectiveness of otoendoscopy in myringoplasty using adipose graft].
OBJECTIVE
The aim of this study was to present our results of endoscopic-guided myringoplasty using adipose graft tissue. Due to its simplicity and reliability, this technique seems be as efficient as other classical graft techniques (fascia temporalis, perichondrium...).


METHODS
We analyzed data from 81 patients operated on for a tympanic perforation between 1993 and 2002 using an endoscopic-guided technique with adipose graft. Patients were evaluated postoperatively at seven days, one month and three months. Criteria of success were complete closure of the tympanic membrane, absence of lateralization of the tympanic membrane and no audiometric impairment.


RESULTS
Treatment was successful in 920f patients with at least two years follow-up. The failures occurred in patients with contraindications such as myringosclerosis, myringitis and perforation size greater than 500f the tympanic surface.


CONCLUSIONS
Endoscopic-guided myringoplasty using an adipose tissue graft is a rapid, safe, reliable and efficient procedure that should be performed in first intention for selected indications.
Thomassin
J-M
JM
Service d'Oto-rhino-laryngologie et Chirurgie Cervico-faciale, Fédération O.R.L., Hôpital Universitaire de la Timone, 264, rue Saint Pierre, 13385 Marseille Cedex 05. jean-marc.thomassin@ap-hm.fr
Facon
Fr
F
Gabert
K
K
D000273:Adipose Tissue / Q000637:transplantation*; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D009225:Myringoplasty / Q000379:methods*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D011183:Postoperative Complications; D014182:Transplantation, Autologous; D018058:Tympanic Membrane Perforation / Q000601:surgery*