Background-The aims of our study were to evaluate the outcome of office-based paper patch grafting in tympanic membrane (TM). Methods- This is a retrospective study of 100 patients that underwent paper patch myringoplasty in an outpatient setting. The clinical factors with potential impact on the healing status of the TM were investigated: gender, age, laterality, etiology, duration of perforation, tinnitus, hearing loss, otorrhea, size and location of perforation, status of contralateral ear, ipsilateral findings of computed tomography, and duration of complete healing. Results- The total success rate of paper patch grafting was 76.00%. For inflammatory TM perforation completely healed in 59.09% cases, and the mean duration of complete healing was 18.24±16.2 weeks. Traumatic TM perforation completely healed in 78.26% cases, and the mean duration of complete healing was 11.24±12.3 weeks. Conclusion- Paper patch grafting can also be considered before formal surgical myringoplasty in the case of small, dry, chronic TM perforations.
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