Abstract
Fat plug myringoplasty is a technique described to repair small dry central tympanic membrane perforations. It is a simple office procedure with minimal morbidity to the patient. The present study is a prospective review of 18 patients who underwent 20 fat plug myringoplasty procedures over three and a half year penod. The success rate of 90% closure of tympanic membrane was achieved at an average of six months follow up. The patient selection criteria have to be adhered strictly to gain good outcome. The study concludes that fat plug myringoplasty is a simple, quick and minimally invasive procedure which can be done as OPD procedure resulting in a safe and dry ear.