Adipose myringoplasty is presented as a simple and cost-effective technique in managing small tympanic membrane perforations in children. A review of 76 fat plug myringoplasties performed on 62 children with drum perforations over a 15-year period was done. Fifty-nine myringoplasties were postinflammatory and/or after extrusion of pressure-equalizing (PE) tubes. Sixteen were residual perforations following temporalis fascia tympanoplasty, and one was posttraumatic perforation. Criteria for selection, operative technique, and results are discussed.
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