Abstract
One of the most common problems in otorhinolaryngology is perforation of tympanic membrane. Although many small perforations heal spontaneously over time, some may remain persistent due to infection or some other causes. In the past years so many grafts have been used with good success rate. In this prospective study of 60 patients with small tympanic membrane perforations, we have compared newer biomaterial collagen patch and conventional fat plug as office procedures in treatment. According to our study, both groups had a significantly equal success rates & the rate of healing & complete closure at the end of 1 & 2 months follow up. The hearing improvement in A-B gap during follow up of both groups were compared with pre-op A-B gap & showed a significant p value. This showed that both collagen patch & fat plug groups had a significant improvement in hearing following procedure. In our study quadrant of perforation does not correlate with the amount of hearing & healing rates were comparatively better in anterior quadrant than posterior quadrant. Infective causes were more & the failure rates were also high for such cause in both groups.
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References
Patterson ME (1967) Experimental tympanic membrane closure with collagen film. Arch Otolaryngol 86:486
Ringenberg JC (1962) Fat graft tympanoplasty. Laryngoscope. 72(2):188–19
Hassan MH (2013) Fat graft myringoplasty- a prospective clinical study. Egyptian J ENT Allied Sci 14(2):91–95
Saliba I (2009) Hyaluronic acid fat graft myringoplasty :howwedoit. ClinOtolaryngol. 33(6):610–614
HagemannM HouslerR (2003) Tympanoplasty with adipose tissue. Laryngorhinootology 82(6):393–396
NishimuraT HashimotoH, NakanishiI FurukawaM (2000) Micro-vascular angiogenesis and apoptosis in the survival of free fat grafts. Laryngoscope 110:1333–1338
Golz A, Goldenberg D, Netzer A, Fradis M, Westerman ST, Westerman LM, Joachims HZ (2003) Paper patching for chronic tympanic membrane perforations. Otolaryngol Head Neck Surg 128:565
Knutsson J, Bagger-Sjo ¨ba ¨ck, D., and von Unge, M. (2009) Collagen type distribution in the healthy human tympanic membrane. OtolNeurotol 30(8):1225–1229
Levin B, Rajkhowa R, Redmond SL, Atlas MD (2009) Grafts in myringoplasty: utilizing a silk fibroin scaffold as a novel device. Expert Rev Med Devices 6:653
Farhadi Mohammad, Maryamjalessi, (2011) Collagen immobilized patch for repairing small tympanic membrane perforations: invitro and invivo assay. Soci Biomater 100(3):543–549
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Ajaiy, M., Sankaranarayanan, G., Jayaprakash, A. et al. A Comparative Study of Using Collagen Patch or Fat Plug in Myringoplasty for Small Tympanic Membrane Perforations. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 4081–4086 (2022). https://doi.org/10.1007/s12070-021-02839-8
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DOI: https://doi.org/10.1007/s12070-021-02839-8