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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2005, Number 2

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An Med Asoc Med Hosp ABC 2005; 50 (2)

Fat graft miryngoplasty

Guzmán ML, Fuentes CA

Language: Spanish
References: 14
Page: 62-65
PDF size: 98.10 Kb.


ABSTRACT

Fat tissue from the ear lobe has been used as graft to repair tympanic membrane perforations for more than 35 years. The fascia and perichondrium are the election grafts in tympanoplasty. Fat graft is an alternative for tympanic perforations no larger than 25%. Method: The study included 50 patients in a period between 1999 and 2001 with tympanic membrane perforations secondary to trauma or infection, ranging in size from 5% to 40% of the tympanic membrane surface. Under microscopic vision, the fibrous annulus of the perforation is resected and fat graft is introduced in the perforation in dumbbell fashion. Results: Of the 50 grafts 48 (96%) had a complete uptake and 2 (4%) partial. Conclusion: The fat graft is a good option for closure of tympanic membrane perforations 25% or greater of tympanic membrane surface and in those patients who represent a surgical risk or don’t accept surgery.


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