Background: Myringoplasty is a common procedure in otorhinolaryngology. Many techniques with different complications and outcomes have been described, one of which is hyaluronic acid fat graft myringoplasty (HAFGM). This technique, as proposed by Saliba, uses fat tissue and hyaluronic acid discs. The technique is relatively fast with a high success rate and low complications. However, what outcomes can be expected when performed by other surgeons? In this paper, we report on the technique's success in our own hands. Materials and methods: Based on Saliba's protocol, we performed 86 HAFGMs by a transcanal approach between 2012 and August 2014. However, our 70% success rate was significantly different from Saliba's 92% (p value 2.8e − 05). We visited Saliba's clinic in order to identify critical differences between our approaches. We adapted the differences we found in our protocol and analysed another 50 HAFGMs performed afterwards, between October 2014 and December 2015. Results: The success rate increased to 86–89%, this percentage is not different compared to Saliba's results (p value.25 and.54). Conclusion: HAFGM is a reproducible technique in the hands of other surgeons, but critical following of the surgical protocol is important.
背景:诱导性成形术是耳鼻喉科的常规手术。已经描述了许多具有不同并发症和结果的技术, 其中之一是透明质酸脂肪移植物鼓膜成形术(HAFGM)。 Saliba提出的这种技术使用脂肪组织和透明质酸盘。该技术相对较快, 成功率高, 并发症少。然而, 如果是其他外科医生施行这种手术, 我们可以预期什么结果呢?我们在本文报道了我们也成功地施行了该技术。 材料和方法:根据Saliba的方案, 我们在2012年至2014年8月期间通过转染方法进行了86个HAFGM手术。然而, 我们70%的成功率与Saliba的92%有显著差异(p值为2.8e-05)。我们访问了Saliba的诊所, 以确定我们的方法之间的关键差异。我们调整了我们方案中的差异, 并分析了其后在2014年10月至2015年12月之间进行的另50个HAFGM手术。 结果:成功率提高到86-89%, 这一比例与Saliba的结果没有差异(p值为0.25和.54)。 结论:HAFGM是其他外科医生可重复使用的技术, 但是必须严格遵循手术方案, 这至关重要。