title: Comparison of paper-patch, fat, and perichondrium myringoplasty in repair of small tympanic membrane perforations.
abstract: OBJECTIVE
  To compare the effectiveness of paper-patch, fat, and perichondrium myringoplasty in the treatment of chronic tympanic membrane perforations smaller than 3 mm.
  
  
  METHODS
  This investigation included 45 patients with chronic tympanic membrane perforations smaller than 3 mm. The patients were equally divided into 3 main groups according to surgical procedures. Each group consisted of 3 subgroups, which had 1-mm, 2-mm, and 3-mm perforations. The patients underwent paper-patch, fat, or perichondrium myringoplasty via transcanal approach under local anesthesia. Healing of perforation, hearing improvement, and complications were investigated.
  
  
  RESULTS
  Closure rates of the perforations in the paper-patch, fat, and perichondrium myringoplasty groups were 66.7%, 86.7%, and 86.7%, respectively. There were no statistically significant differences in tympanic membrane closure rates between techniques with regard to size.
  
  
  CONCLUSIONS
  Three techniques were found to be feasible for tympanic membrane perforations smaller than 3 mm.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, GATA Haydarpasa Training Hospital, Istanbul, Turkey.
authors.forename: Engin
authors.initials: E
authors.lastname: Dursun
authors.forename: Salim
authors.initials: S
authors.lastname: Dogru
authors.forename: Atila
authors.initials: A
authors.lastname: Gungor
authors.forename: Hakan
authors.initials: H
authors.lastname: Cincik
authors.forename: Ethem
authors.initials: E
authors.lastname: Poyrazoglu
authors.forename: Taner
authors.initials: T
authors.lastname: Ozdemir
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D002356:Cartilage / Q000637:transplantation; D005260:Female; D006801:Humans; D008297:Male; D009225:Myringoplasty / Q000379:methods*; D011446:Prospective Studies; D018058:Tympanic Membrane Perforation / Q000601:surgery*