Rawat Aakanksha, Mittal Pankhuri, Aggarwal Ruchika
Department of Otorhinolaryngology, AIIMS Gorakhpur, India.
Iran J Otorhinolaryngol. 2024 Jul;36(4):545-550. doi: 10.22038/IJORL.2024.77219.3585.
Fat tympanoplasty is repair of small dry tympanic membrane perforations using fat as graft material. It is a simple office procedure with minimal morbidity and manipulation of the middle ear.
The present study was a prospective review of 60 patients who underwent fat tympanoplasty over the period of 15 months. In all the patients fat was harvested from ear lobule.
Patients were kept on follow up for 3 months and evaluated for graft uptake and hearing gain. 86.66% closure rate of tympanic membrane defect was achieved. Postoperative air conduction was 29.6 ± 5.3 while air bone gap was 13.2 ± 6.1.
The study concludes that fat plug myringoplasty is a simple, quick, less invasive method to repair small tympanic membrane defects.
脂肪鼓膜成形术是使用脂肪作为移植材料修复小的干性鼓膜穿孔。这是一种简单的门诊手术，对中耳的损伤和操作最小。
本研究是对60例在15个月内接受脂肪鼓膜成形术的患者进行的前瞻性回顾。所有患者的脂肪均取自耳垂。
患者接受了3个月的随访，并对移植物吸收和听力改善情况进行了评估。鼓膜缺损的闭合率达到86.66%。术后气导为29.6±5.3，气骨导差为13.2±6.1。
该研究得出结论，脂肪栓塞鼓膜成形术是修复小鼓膜缺损的一种简单、快速、侵入性较小的方法。
