Ajaiy, M (2016) A Comparative study of using Collagen Patch or Fat Plug in Myringoplasty for Small Tympanic Membrane Perforations. Masters thesis, Madras Medical College, Chennai.
|
Text
220400116ajaiy.pdf Download (3MB) | Preview |
Abstract
BACKGROUND: Tympanic membrane perforation is one of the most common problem encountered by the otorhinolaryngologists. Many graft materials have been tried to close these perforations apart from conventional temporalis fascia graft in myringoplasty. The aim of our prospective study is to show the role and efficacy of OFFICE PROCEDURES in closure of small tympanic membrane perforations using fat plug myringoplasty and collagen patch techniques. MATERIALS AND METHODS: This study included 60 patients. Totally the patients with infectious cause for TM perforations were 29, traumatic cause were 21 and post myringoplasty were 10 of which 15 patients from the infectious cause 10 from traumatic cause and 5 from post myringoplasty was selected for collagen patch and 14 patients from the infectious cause, 11 from traumatic cause and 5 from post myringoplasty was selected for fat plug randomly. Their pre and post-operative hearing, rate of healing and causes for failure were identified and compared. RESULTS: The success rate of fat plug myringoplasty was 83.3% and 70% for collagen patch technique. The most common cause for the failure was found to be infection. The pre and post-operative mean for hearing improvement was significant with P value of < 0.001 for both the techniques. CONCLUSION: Of the various graft materials tried in the literature, newer biomaterials like collagen & fat plug can also be used for closure of small perforations with advantages of significantly better healing rates, comparatively good hearing improvement, less pain and less time consuming procedures and higher patient compliance.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.221314006 |
| Uncontrolled Keywords: | Tympanic membrane ; small perforations ; fat plug myringoplasty ; collagen patch ; office procedures. |
| Subjects: | MEDICAL > Otolaryngology |
| Depositing User: | Devi S |
| Date Deposited: | 12 Feb 2019 15:21 |
| Last Modified: | 13 Feb 2019 04:29 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10546 |
Actions (login required)
 |
View Item |
