ENDOSCOPIC FAT GRAFTING OF SMALL AND RESIDUAL TYMPANIC MEMBRANE PERFORATIONS- A CLINICAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 50
Abstract
BACKGROUND Fat patch grafting is a simple effective alternative to conventional tympanoplasty in dealing with carefully selected small central tympanic membrane perforations. Despite its numerous advantages and relative ease of the procedure, many a times it has been underused. MATERIALS AND METHODS The study was conducted in the Department of Otolaryngology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala over a period of 2 years on 44 ears. An endoscope-assisted fat patch grafting technique was used in our study. RESULTS The Male-to-Female ratio was 2.1: 1; 39 cases had complete closure of the perforation. So, the overall success rate of the study was around 89%. CONCLUSION Fat graft myringoplasty is a simple, cost effective day care surgical procedure done under local anaesthesia. It is an under-utilised procedure by otologists for the treatment of tympanic membrane perforations. Through our study, we would like to emphasise the importance of this procedure done endoscopically for carefully selected cases, which has a very good success rate.
Authors and Affiliations
Shameem Ahamed Seere Veetil, Githin Chempakathinal Rajendran, Aswin Mukundan, Sandeep Kandoth, Ambili Janardhanan
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