{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:17:27Z","timestamp":1777562247918,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:00:00Z","timestamp":1639008000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100019780","name":"Chonnam National University Hwasun Hospital","doi-asserted-by":"crossref","award":["HCRI20015"],"award-info":[{"award-number":["HCRI20015"]}],"id":[{"id":"10.13039\/501100019780","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100013129","name":"Ministry of SMEs and Startups","doi-asserted-by":"crossref","award":["S2972485"],"award-info":[{"award-number":["S2972485"]}],"id":[{"id":"10.13039\/501100013129","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>Objectives: We evaluated the closure rate after fat-graft myringoplasty (FGM) of perforations differing in size and location. We explored whether patient\u2019s factors and the FGM surgical technique influenced surgical outcomes. Methods: We retrospectively studied patients with tympanic membrane perforations who underwent FGM from March 2015 to March 2019. All procedures were performed by a single senior surgeon at our tertiary hospital. The patients who followed-up for at least 6\u00a0months after surgery were enrolled. We recorded hypertension and diabetes status, age, any prior ear surgery, any calcific plaques adjacent to the perforation, and perforation size and location. Results: A total of 150 patients were enrolled. Our success rate of FGM was 90%. Hypertension, diabetes, prior ear surgery history, and eardrum calcific plaques did not affect the surgical outcomes. There was no statistical difference in the surgical success rate according to the size (&lt; 50%) or location of perforation. The closure rate was 97.2% in patients aged 1660 and 87.5% in patients aged &gt; 60, respectively. However, FGM was successful in only two of six children (33.3%) aged \u2264 15\u00a0years, thus significantly less than in the other groups. Conclusion: FGM is a fast, safe, and efficient method for repairing tympanic membrane perforation. The surgical outcome is not significantly affected by underlying disease, perforation size or location, or by the condition of the tympanic membrane or older age. However, it may be poor in children with dysfunctional Eustachian tube.<\/jats:p>","DOI":"10.1177\/01455613211063243","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T05:43:13Z","timestamp":1639028593000},"page":"442-446","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Surgical results and factors affecting outcome in patients with fat-graft myringoplasty"],"prefix":"10.1177","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3466-4820","authenticated-orcid":false,"given":"Hong Chan","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyeong Suk","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyung Chae","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chul Ho","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"bibr1-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196202000-00005"},{"issue":"6","key":"bibr2-01455613211063243","first-page":"469","volume":"46","author":"Hern\u00e1ndez JM","year":"1995","journal-title":"Acta Otorrinolaringol Esp"},{"issue":"9","key":"bibr3-01455613211063243","first-page":"920","volume":"44","author":"Park CW","year":"2001","journal-title":"Korean J Otorhinolaryngol Head Neck Surg"},{"key":"bibr4-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1988.tb01123.x"},{"key":"bibr5-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510013659X"},{"key":"bibr6-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.2013.210"},{"key":"bibr7-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2008.01823.x"},{"key":"bibr8-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1177\/0145561319900388"},{"key":"bibr9-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181ca85cc"},{"key":"bibr10-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1007\/BF02849912"},{"key":"bibr11-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2019.01.006"},{"key":"bibr12-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001732"},{"key":"bibr13-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809800211"},{"key":"bibr14-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1007\/BF00464402"},{"key":"bibr15-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-291X(88)81229-4"},{"key":"bibr16-01455613211063243","doi-asserted-by":"publisher","DOI":"10.3109\/10739689709146786"},{"key":"bibr17-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212100305"},{"key":"bibr18-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-013-0651-9"},{"key":"bibr19-01455613211063243","doi-asserted-by":"publisher","DOI":"10.1177\/00034894800890S308"}],"container-title":["Ear, Nose &amp; 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