Background and Objectives : Nowadays, temporalis fascia is the most commonly used graft for closure of the tympanic membrane perforation, with the reported success rates of 90% or more. Fat graft myringoplasty has been used for closure of small
tympanic
membrane perforation and it appeared to be a safe, simple, efficient method. Several authors reported different success rates of fat graft myringoplasty from 70% to 97%. The aim of this study was to evaluate the outcomes of myringoplasty using
autogenous fat graft performed in out department. Materials and Methods : We reviewed the medical records of 54 patients who underwent fat graft myringoplasty from January 1999 to June 2000. Results : Of 54 patients, 49 patients were successfully
treated by fat graft myringoplasy, so the overall success rae was 90.7%. The success rate reduced with increasing size of perforation. Age, the location of perforation, experience of the surgeon, site of harvesting did not influence the success
rate
significantly. Conclusion : We estimated the success rate for fat graft myringoplasty as 90.7%, and this value is similar with that for temporalis fascia. So, fat graft myringoplasty must be considered in selected cases, particularly for small
tympanic
membrane perforation.
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