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Background and Objectives:Fat myringoplasty is a simple and safe method for repairing tympanic membrane perforation. The purpose of this study was to investigate the effect of fat myringoplasty accompanied by CO2 laser treatment for the trimming of perforation. :Twenty-one patients diagnosed with the following tympanic membrane perorations were used:1) Traumatic perforation, 2) Chronic otitis media without active inflammation, 3) Re-perforation after midle ear surgery. The procedure was performed at OPD under local anesthesia while operating a microscope that was adapted to the CO2 laser. Results:The overall success rate was 81 percent (17/21). Conclusion:recomended for repairing tympanic membrane perforation in traumatic, chronic otitis media and re-perforation after middle ear surgery. Fat myringoplasty was simple and efective on only small perforations (≤30% ). CO2 laser was useful for the tri-ming of tympanic membrane perforations, but did not afect the succes rate. (Korean J Otolaryngol 2002;45:127-31)

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