J Otolaryngol Ophthalmol Shandong Univ ›› 2013, Vol. 27 ›› Issue (6): 42-44.doi: 10.6040/j.issn.1673-3770.0.2013.106

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Therapeutic effects of otoscopic myringoplasty with autogenous adipose tissue

WU Long-jun1,2, HUANG Yi-deng2, XIA Si-wen2   

  1. 1. The First Clinical College of Wenzhou Medical University, Wenzhou, 325000 Zhejiang, China; 2. Department of Otolaryngology, The 118th Hospital of Chinese PLA, Wenzhou 325000, Zhejiang, China
  • Received:2013-04-07 Published:2013-12-16

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Abstract:

Objective    To investigate the therapeutic effects of otoscopic myringoplasty with autogenous adipose tissue. Methods    128 cases of otoscopic myringoplasty with autogenous adipose tissue, which were harvested from earlobe or abdomen, were analyzed. The surgical procedure might be repeated due to difficult closure for large tympanic perforation. Results    The perforation of tympanic membranes were successfully repaired with one myringoplasty in 120 patients, twice in 6 patients and three times in 2 patients. The total cure rate was 100%. Hearing examination six months postoperative showed the average threshold of pure tone air conduction was（21.4±8.6）dB. The threshold difference between pure tone bone-conduction and air-conduction was only（10.2±4.6）dB. Conclusion    Otoscopic myringoplasty with autogenous adipose is a simple, easy  and minimally invasive procedure, which can be applied in the repair of large central perforation of membrana tensa,and the patients with failed operation.

Key words: Myringoplasty, Otoscope, Autogenous adipose tissue

CLC Number: 

  • R764.92
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