How is a fat-plug tympanoplasty performed for the treatment of tympanic membrane perforation (TMP)?

Updated: Dec 14, 2020
  • Author: Robert A Saadi, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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A fat-plug tympanoplasty can also be performed, by obtaining a small plug of fat from the postauricular sulcus or earlobe with the patient under local or general anesthesia. Prepare the TMP by anesthetizing its margins with carefully applied phenol solution. Next, mechanically debride the edges with microcup forceps. The fat is then tucked into the perforation, extending into the canal and into the middle ear space.

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