The selection and strategy in otoendoscopic myringoplasty with autogenous adipose tissue

Purpose: To summarize the experience and explore the clinical application of myringoplasty with autogenous adipose tissue by endotoscope.

Methods: In this study, we retrospectively analyzed 56 cases (64 ears) of otoendoscopic myringoplasty with autogenous adipose tissue performed between January 2006 and April 2007.

Result: All patients were followed up more than 6 months. The global closing rate was 92.19% (59 perforations among 64 total operations), 95.08% (diameter of perforation ≤5 mm), 33.33% (>5 mm).

Conclusion: Otoendoscopic myringoplasty with adipose tissue is a simple and minimally invasive technique for tympanic membrane perforations. With optimal choice at indication and correct treatment to complication, the technique will give the advantages of slighter trauma, simpler procedure, lower cost and reduced complication rate.