Fat-plug myringoplasty of ear lobule vs abdominal donor sites.
The purpose of this study is to compare the success rates of fat-graft myringoplasties harvesting adipose grafts from different donor sites (ear lobule vs abdomen). The clinical records of 61 patients (24 males and 37 females) who underwent fat-plug myringoplasty (FPM) were reviewed retrospectively. Fat from ear lobule (FEL) and abdominal fat were used as graft materials. The impact of age, gender, systemic diseases, topography of the perforation, utilization of fat graft materials of different origin on the tympanic membrane closure rate and the effect of FPM on hearing gain was analyzed. Our tympanic membrane (TM) closure rate was 82 %. No statistical significant difference was observed regarding age, gender, comorbidities (septal deviation, hypertension and diabetes mellitus) or habits (smoking). Posterior TM perforations had significantly lower healing rate. The change in TM closure rate considering different adipose tissue donor sites was not statistically significant. The hearing gain of the patients was mostly below 20 dB. Fat-plug myringoplasty (FPM) is a safe, cost-effective and easy operation for selected patients. Abdominal fat graft is as effective as ear lobe fat graft on tympanic membrane healing, has cosmetic advantages and should be taken into consideration when planning fat as the graft source.
ENT Department, Yunus Emre State Hospital, Eskisehir, Turkey.
Mustafa
M
Acar
ENT Department, Tarsus State Hospital, İsmetpaşa Mh., 33440, Tarsus, Mersin, Turkey. demetyazici@yahoo.com.
Demet
D
Yazıcı
ENT Department, Göztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
Turhan
T
San
ENT Department, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.
Nuray Bayar
NB
Muluk
ENT Department, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
Cemal
C
Cingi
D034861:Abdominal Wall / Q000601:surgery; D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D064592:Autografts; D003362:Cost-Benefit Analysis; D054644:Ear Auricle / Q000601:surgery*; D004432:Ear, Middle / Q000601:surgery; D005260:Female; D006320:Hearing Tests; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000009:adverse effects / Q000191:economics / Q000379:methods; D018579:Patient Selection; D011182:Postoperative Care; D015203:Reproducibility of Results; D012189:Retrospective Studies; D060053:Transplant Donor Site / Q000601:surgery*; D014432:Tympanic Membrane / Q000473:pathology / Q000601:surgery; D018058:Tympanic Membrane Perforation / Q000175:diagnosis / Q000601:surgery*; D014945:Wound Healing