Efficacy of platelet rich plasma on graft uptake in myringoplasty | ||||
Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||||
Article 1, Volume 11, Issue 1, April 2025, Page 1-9 PDF (584.61 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejnso.2025.342057.1111 | ||||
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Authors | ||||
Tahany Rabie; Samya Fawaz; Amen Waleed Farag; Tarek Mohamed Gamaleldin Ashmawy ![]() ![]() | ||||
Department of otorhinolaryngology, Faculty of Medicine, Ain Shams University | ||||
Abstract | ||||
Background: The purpose of this research is to compare the effectiveness of platelet-rich plasma (PRP) with conventional temporalis fascia myringoplasty in the treatment of medium-sized central perforations in the central tympanic membrane (TM). This study was designed as a randomized control trial. Patients and methods: We used a retro-auricular approach underlay graft employing temporalis fascia to perform myringoplasty on fifty-two patients with chronic otitis media (COM) mucosal-type, medium-sized central TM perforation, and conductive hearing loss. We randomly assigned these patients to either with PRP or without PRP procedures. Results; Graft uptake, or an intact TM, was the main result six weeks after surgery. The analysis includes 52 myringoplasties (control group-26 patients, intervention group-26 patients) performed on 52 patients (34 males and 18 females, ages 25–47). Graft uptake rates were 92.3% in the intervention and 84.6% in control group) six weeks after surgery. Graft uptake did not differ statistically significantly between the two groups (P value = 0.418). Both groups experienced comparable postoperative complications. Conclusions: Graft-uptake in the intervention group and problems were comparable to those of control group. When it comes to treating TM perforation, intervention group has no advantages over the control group. | ||||
Keywords | ||||
Keywords: platelet-rich plasma; myringoplasty; chronic otitis media; and temporalis fascia | ||||
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