RT Journal Article T1 Long-Term Follow-Up After Fat Graft Myringoplasty: Do Size and Location Matter? A1 Diaz, Alfonso Rodriguez A1 Reina, Carlos O'Connor A1 Plaza, Guillermo A1 Posadas, Elena Rodriguez A1 Arevalo, Francisco Valdeon A1 Iriarte, Maria Teresa Garcia K1 fat graft K1 hearing loss K1 middle ear surgery K1 office surgery K1 tympanoplasty AB 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. YR 2020 FD 2020-12-14 LK http://hdl.handle.net/10668/16788 UL http://hdl.handle.net/10668/16788 LA en DS RISalud RD Apr 6, 2025