caa a22 4500 606185984 CHVBK 20210128100834.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00405-014-2890-0 doi (NATIONALLICENCE)springer-10.1007/s00405-014-2890-0 Fat-plug myringoplasty of ear lobule vs abdominal donor sites [Elektronische Daten] [Mustafa Acar, Demet Yazıcı, Turhan San, Nuray Muluk, Cemal Cingi] The purpose of this study is to compare the success rates of fat-graft myringoplasties harvesting adipose grafts from different donor sites (ear lobule vs abdomen). The clinical records of 61 patients (24 males and 37 females) who underwent fat-plug myringoplasty (FPM) were reviewed retrospectively. Fat from ear lobule (FEL) and abdominal fat were used as graft materials. The impact of age, gender, systemic diseases, topography of the perforation, utilization of fat graft materials of different origin on the tympanic membrane closure rate and the effect of FPM on hearing gain was analyzed. Our tympanic membrane (TM) closure rate was 82%. No statistical significant difference was observed regarding age, gender, comorbidities (septal deviation, hypertension and diabetes mellitus) or habits (smoking). Posterior TM perforations had significantly lower healing rate. The change in TM closure rate considering different adipose tissue donor sites was not statistically significant. The hearing gain of the patients was mostly below 20dB. Fat-plug myringoplasty (FPM) is a safe, cost-effective and easy operation for selected patients. Abdominal fat graft is as effective as ear lobe fat graft on tympanic membrane healing, has cosmetic advantages and should be taken into consideration when planning fat as the graft source. Springer-Verlag Berlin Heidelberg, 2014 Fat-plug myringoplasty nationallicence Fat-graft tympanoplasty nationallicence Tympanic membrane perforation nationallicence Fat of ear lobule nationallicence Abdominal fat nationallicence Acar Mustafa ENT Department, Yunus Emre State Hospital, Eskisehir, Turkey aut Yazıcı Demet ENT Department, Tarsus State Hospital, İsmetpaşa Mh., 33440, Tarsus, Mersin, Turkey aut San Turhan ENT Department, Göztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey aut Muluk Nuray ENT Department, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey aut Cingi Cemal ENT Department, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 861-866 0937-4477 272:4<861 2015 272 405 https://doi.org/10.1007/s00405-014-2890-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-2890-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Acar Mustafa ENT Department, Yunus Emre State Hospital, Eskisehir, Turkey aut NATIONALLICENCE 700 1- Yazıcı Demet ENT Department, Tarsus State Hospital, İsmetpaşa Mh., 33440, Tarsus, Mersin, Turkey aut NATIONALLICENCE 700 1- San Turhan ENT Department, Göztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey aut NATIONALLICENCE 700 1- Muluk Nuray ENT Department, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey aut NATIONALLICENCE 700 1- Cingi Cemal ENT Department, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 861-866 0937-4477 272:4<861 2015 272 405