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13088

MYRINGOPLASTY OF CENTRAL TYMPANIC MEMBRANE PERFORATION WITH A FAT GRAFT FROM THE EAR LOBULE AND PLATELET RICH PLASMA.

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Last updated: 01 Jan 2025

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Abstract

ABSTRACT
Background: Fat myringoplasty had been described over 50 years to be a safe and simple option for
myringoplasty. Platelet rich plasma [PRP] is a simple and minimally invasive method to obtain a high
concentrate of autologous growth factors that can facilitate wound healing.
Objectives: To assess the effectiveness of using fat and PRP in myringoplasty.
Patients and methods: Twenty patients with small to medium sized tympanic membrane perforations were
enrolled in this study. Under local anesthesia, the margin of the perforation was freshened, then a single
piece of ear lobule fat graft, approximately double the size of the perforation, was placed through the
perforation, then the PRP was applied over the fat graft.
Results: Successful TM perforation repair was achieved in 36 ears [85.7%]. 100% success rate was
obtained in small peroration and 79.3%in medium sized perforation. There was significant postoperative
improvement in the mean air bone gap [p = 0.0016].
Conclusion: Adding PRP to fat myringoplasty is a safe, effective, cost saving and minimally invasive
procedure. It is suitable to repair small as well as moderate sized TM perforations.  

DOI

10.21608/zumj.2018.13088

Keywords

Myringoplasty, platelet rich plasma, tympanic membrane. Ear lobule fat

Authors

First Name

Ahmed

Last Name

Ebrahim

MiddleName

Roshdy

Affiliation

-

Email

-

City

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Orcid

-

First Name

Yasser

Last Name

Fouad

MiddleName

Ahmed

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Magdy

Last Name

Ali

MiddleName

Bedir

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Saeed

Last Name

El-Baz

MiddleName

Abo El-Ez

Affiliation

-

Email

-

City

-

Orcid

-

Volume

24

Article Issue

2

Related Issue

2495

Issue Date

2018-03-01

Receive Date

2018-09-10

Publish Date

2018-03-01

Page Start

143

Page End

149

Print ISSN

1110-1431

Online ISSN

2357-0717

Article File

ZUMJ_Volume 24_Issue 2_Pages 143-149.pdf

PDF . 960.3kB

Link

https://zumj.journals.ekb.eg/article_13088.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=13088

Order

7

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

MYRINGOPLASTY OF CENTRAL TYMPANIC MEMBRANE PERFORATION WITH A FAT GRAFT FROM THE EAR LOBULE AND PLATELET RICH PLASMA.

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Article

Created At

22 Jan 2023