Comparison of paper-patch, fat, and perichondrium myringoplasty in repair of small tympanic membrane perforations.
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.
Dursun
Engin
E
Department of Otolaryngology-Head and Neck Surgery, GATA Haydarpasa Training Hospital, Istanbul, Turkey.
Dogru
Salim
S
Gungor
Atila
A
Cincik
Hakan
H
Poyrazoglu
Ethem
E
Ozdemir
Taner
T
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*