Hyaluronic acid fat graft myringoplasty: how we do it

Dear Editor, Tympanic membrane (TM) perforation is most commonly a result of infection, trauma, or the sequelae of tympanostomy tube insertion. Although 88% of traumatic perforations of any size heal without intervention, the remainders become chronic and require treatment. Without closure, morbidity may include hearing loss, chronic otorrhea and cholesteatoma formation. These tympanic membrane perforations can be repaired surgically; however, doing so requires a general anesthesia which is often protracted and ⁄or hypotensive, and which can represent an unacceptable risk in older patients. Day-stay surgery has become an integral part of modern otolaryngology. Myringoplasty under local anesthesia is a short, simple, cost-effective and minimally invasive technique compared with traditional myringoplasty. The purpose of this prospective clinical trial was to evaluate the success rate of the Hyaluronic Acid Fat Graft Myringoplasty (HAFGM) performed under local anesthesia as an outpatient clinic procedure and to discuss the utilities and advantages of this new procedure described by the author.