Compare the efficacy of three different myringoplasty techniques, hyaluronic acid fat graft myringoplasty, fat graft myringoplasty, and temporal fascia for the closure of different sizes and sites of tympanic membrane perforations

Comparison of Hyaluronic Acid Fat Graft Myringoplasty, Fat Graft Myringoplasty and Temporal Fascia Techniques for the Closure of Different Sizes and Sites of Tympanic Membrane Perforations.

Article specifications

This clinical trial was published in 2016 in Journal of J Int Adv Otol. (IF 2016: 0.36) by Turkish specialists. The aim of the present study was to compare the efficacy of three different myringoplasty techniques, namely hyaluronic acid fat graft myringoplasty (HAFGM), fat graft myringoplasty (FGM), and temporal fascia for the closure of different sizes and sites of tympanic membrane perforations. The patients were divided into three groups depending on the patient's choice of technique as follows: Fat Graft Myringoplasty (FGM) (Group I), Hyaluronic Acid Fat Graft Myringoplasty (HAFGM) (Group II), and Temporalis Fascia (TF) (Group III). A total of 136 patients were included in the study.

 

Result

This study showed that the HAFGM technique is superior to FGM alone for large perforations of TM. For small-sized perforations, there are no statistical differences between FGM and HAFGM, both in terms of the success rates and the audiological results. As a result, we propose using HAFGM for large perforations and FGM alone for small perforations. The TF technique is also a successful and well-defned technique for TM perforations but, in our opinion, the technical difculties make it a secondary choice, particularly for small-sized perforations.