title: Platelet-Rich Plasma Application for Acute Tympanic Membrane Perforations.
abstract: OBJECTIVE
  To assess the efficacy of the application of platelet-rich plasma (PRP) in the healing process of acute tympanic membrane perforations (TMPs).
  
  
  METHODS
  Acute TMPs were made in both the ears of 12 New Zealand rabbits. Plasma gel was applied at the right tympanic membrane (TM) of the same animal until the perforations were closed. The left TM was left untreated. On days 1, 4, 7, 10, 13, 16, 21, 28, and 35, the TMs were monitored to check the closure of perforations. The days of perforation closure for the 2 groups were compared using the paired t-test. The animals were sacrificed 2 months after making the perforations. Seven histopathological parameters were reviewed by 2 blinded pathologists: acute inflammation, chronic inflammation, edema in the lamina propria, congestion in the lamina propria, sclerosis, fibroblastic reaction, and an increase in the thickness of the squamous epithelial layer. The presence or absence of each histological parameter in both groups was compared using the Pearson Chi-square test.
  
  
  RESULTS
  The average number of days for closure in the plasma gel group was 12 (range 8-18 days) and that in the control group was 17.7 (range 8-31 days). The difference was statistically significant (p=0.0145). There was no sclerosis or fibroblastic reaction in any of the specimens. No statistically significant difference was seen between the 2 groups with respect to acute inflammation, chronic inflammation, edema in the lamina propria, congestion in the lamina propria, and an increase in thickness of the squamous epithelial layer (p>0.05).
  
  
  CONCLUSIONS
  Platelet-rich plasma fastens TMP closure; in long term, the eventual outcome is both microscopically and macroscopically same for the control as well as study groups in a rabbit traumatic TMP model. We believe that this study will encourage the clinical use of PRP for acute TMPs and trigger clinical studies in this field.
authors.affiliation: Department of Otolaryngology, Ufuk University School of Medicine, Ankara, Turkey. selminkrt@hotmail.com.
authors.forename: Selmin
authors.initials: S
authors.lastname: Karataylı Özgürsoy
authors.forename: M Emin
authors.initials: ME
authors.lastname: Tunçkaşık
authors.forename: Fatma
authors.initials: F
authors.lastname: Tunçkaşık
authors.forename: Egemen
authors.initials: E
authors.lastname: Akıncıoğlu
authors.forename: Handan
authors.initials: H
authors.lastname: Doğan
authors.forename: Sinan
authors.initials: S
authors.lastname: Kocatürk
mesh_terms: D000818:Animals; D005260:Female; D008297:Male; D023421:Models, Animal; D053657:Platelet-Rich Plasma; D011817:Rabbits; D013997:Time Factors; D018058:Tympanic Membrane Perforation / Q000473:pathology / Q000628:therapy*; D014945:Wound Healing