2013Unpublished venueRequires access

Therapeutic effects of otoscopic myringoplasty with autogenous adipose tissue

WU Long-ju

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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.

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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.

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Available 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 concepts: Myringoplasty, Medicine, Earlobe, Adipose tissue, Perforation, Surgery, Bone conduction, Tympanoplasty

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