CLOSING SMALL PERFORATION OF TYMPANIC MEMBRANE-II

Another method of closure of tympanic membrane perforation is by fat graft. The edges of the perforation are made raw by removing a thin margin after giving local anaesthesia. After freshenening the margins, the fat is harvested from the ear lobule. A small incision is given on the lateral surface or under surface of lobule of ear and fat taken out of the lobule. This fat is placed in the perforation in such a manner that a part of this remains above and a part below the perforation like a dumbell. The ear canal is packed with gelfoam.