%0 Journal Article
%A Diaz, Alfonso Rodriguez
%A Reina, Carlos O'Connor
%A Plaza, Guillermo
%A Posadas, Elena Rodriguez
%A Arevalo, Francisco Valdeon
%A Iriarte, Maria Teresa Garcia
%T Long-Term Follow-Up After Fat Graft Myringoplasty: Do Size and Location Matter?
%D 2020
%U http://hdl.handle.net/10668/16788
%X To assess clinical and functional outcomes of a fat graft myringoplasty under local in an office setting. Prospective case series. Tertiary care facility. Patients with a tympanic membrane (TM) perforation presenting between December 2005 and June 2019. Inclusion criteria included perforation size >25% of the surface of the pars tensa of the TM, entire perforation margins visualized through a transcanal view, and lack of spontaneous closure at the 6-month follow-up. The exclusion criteria were the presence of cholesteatoma, wet appearance of the mucosa in the tympanic cavity, ear discharge in the 3 months before surgery, or signs of ossicular inconsistency. In-office fat graft myringoplasty technique under local anesthesia. Complete perforation closure rate and audiometric outcomes. A total of 121 patients underwent the procedure, of whom 21 had bilateral sequential procedures (total 142 ears). Average age was 51.1 ± 18.4 years (range, 3-78 years). The size of perforation was  In office fat graft myringoplasty, in adult and pediatric patients with variable perforation sizes, is a well-tolerated procedure with very satisfactory clinical results.
%K fat graft
%K hearing loss
%K middle ear surgery
%K office surgery
%K tympanoplasty
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