Keunggulan L-PRF Dibandingkan P-PRF, PRFM, A-PRF, & I-PRF sebagai Cangkok pada Operasi Miringoplasti: Studi Penyembuhan Luka pada Perforasi Membran Timpani
DOI:
https://doi.org/10.54259/sehatrakyat.v5i1.6020Keywords:
A-PRF, I-PRF, L-PRF, Myringoplasty, Tympanic MembraneAbstract
This study aims to analyze the advantages of Leukocyte-Platelet Rich Fibrin (L-PRF) application in myringoplasty surgery compared to other platelet concentrates such as Platelet-Rich Fibrin Membrane (PFRM), Advanced Platelet-Rich Fibrin (A-PRF), and Injectable Platelet-Rich Fibrin (I-PRF). The research method used is a qualitative literature review, collecting and analyzing data from recent scientific journals and clinical studies related to the use of L-PRF in tympanic membrane repair. The study finds that L-PRF, with its dense fibrin network and high content of leukocytes and growth factors, enhances tissue regeneration, angiogenesis, and epithelialization, which are critical for successful graft integration and faster healing after myringoplasty. Compared to other platelet concentrates, L-PRF offers better mechanical strength and a more sustained release of growth factors. Additionally, L-PRF reduces postoperative complications and improves hearing outcomes. Being an autologous biomaterial, it also reduces the risk of immune rejection. The findings suggest that L-PRF is a promising graft material in otologic surgery, though further clinical trials are needed to optimize its application protocols.
Downloads
References
Aboelnaga, H. A., Elsharnouby, M. K., Ali, A. A. A., Elkamshishi, T. A., & Abdelhafez, T. A. (2022). Evaluation of the use of autologous platelet-rich fibrin in myringoplasty operation. Egyptian Journal of Otolaryngology, 38, Article 142. https://doi.org/10.1186/s43163-022-00325-8
Acerra, A., Caggiano, M., Chiacchio, A., Scognamiglio, B., & D’Ambrosio, F. (2025). PRF and PRP in Dentistry: An Umbrella Review. Journal of Clinical Medicine 2025, Vol. 14, Page 3224, 14(9), 3224. https://doi.org/10.3390/JCM14093224
Al-Arman, A. M., Moneir, W., Emam Amer, H., Ebada, H. A., et al. (2024). Platelet-rich fibrin augmented tympanoplasty versus cartilage tympanoplasty: a randomized clinical trial. European Archives of Oto-Rhino-Laryngology. Advance online publication.
Anggraini, D., Ervina, I., & Nasution, A. H. (2024). The Effectiveness Of Platelet Rich Fibrin, Connective Tissue Graft And Their Combination In The Closure Of Gingival Recession: A Systematic Review. Interdental Jurnal Kedokteran Gigi (Ijkg), 20(1), 67–75. Https://Doi.Org/10.46862/Interdental.V20i1.7866
Ersözlü, T., & Gultekin, E. (2020). A Comparison of the Autologous Platelet-Rich Plasma Gel Fat Graft Myringoplasty and the Fat Graft Myringoplasty for the Closure of Different Sizes of Tympanic Membrane Perforations. Ear, Nose, & Throat Journal, 99(5), 331–336. https://doi.org/10.1177/0145561319900388
Gad, H. A., Hashem, H. F., & Otorhinolaryngology, M. A. I. (2021). Different Grafts used In Closure of Central Small Tympanic Membrane Perforations. Benha Journal of Applied Sciences, 6(3), 129–135. https://doi.org/10.21608/BJAS.2021.188817
Huang, J., Teh, B. M., Zhou, C., Shi, Y., & Shen, Y. (2022). Tympanic membrane regeneration using platelet-rich fibrin: a systematic review and meta-analysis. European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 279(2), 557–565. https://doi.org/10.1007/S00405-021-06915-1
Mathew, N., Menon, S., Ramaswamy, B., & Nayak, Di. (2021). A randomised control trial to assess the efficacy of platelet rich fibrin in type 1 tympanoplasty. Indian Journal of Otology, 27(2), 84–89. https://doi.org/10.4103/INDIANJOTOL.INDIANJOTOL_273_20
Mutallibli, A., & Saǧlam, M. (2024). Comparison of the effect of A-PRF and L-PRF application to palatal donor sites on quality of life and wound healing after free gingival graft surgery. Quintessence International (Berlin, Germany : 1985), 55(6), 472–481. https://doi.org/10.3290/J.QI.B5316947
Riaz, N., Ajmal, M., & Khan, M. S. (2021). Efficacy of Platelet Rich Fibrin in Myringoplasty. Pakistan Journal of Medical Sciences, 37(1), 212. https://doi.org/10.12669/PJMS.37.1.3059
Shindy, M. F., El-Shimi, O. S., Belal, M. S., & Abdelalim, A. A. (2020). Use of Platelet Rich Fibrin in Acute Traumatic Tympanic Membrane Perforation Compared With the Conservative Treatment. Benha Medical Journal, 37(3), 512–523. https://doi.org/10.21608/BMFJ.2020.107378
Shiomi, Y., & Shiomi, Y. (2020). Surgical outcomes of myringoplasty using platelet-rich plasma and evaluation of the outcome-associated factors. Auris, Nasus, Larynx, 47(2), 191–197. https://doi.org/10.1016/J.ANL.2019.06.005
Shukla, A., Kaurav, Y. S., & Vatsyayan, R. (2020). Novel Use of Platelet Rich Fibrin Membrane in Transcanal Myringoplasty: A Prospective Study. Indian Journal of Otolaryngology and Head & Neck Surgery, 72(3), 355. https://doi.org/10.1007/S12070-020-01851-8
S, R., Velayutham, P., R, R. S., B, G. S., & A, A. (2025). Graft Uptake and Hearing Outcomes in Myringoplasty by Conventional Temporalis Fascia Underlay Technique with and without Addition of Platelet Rich Fibrin (Prf): A Prospective, Randomised Double Blind Study. South Eastern European Journal of Public Health, 4365–4380. https://doi.org/10.70135/SEEJPH.VI.6151
Tiple, C., Chirila, M., Vesa, S. C., & Stamate, M. C. (2023). Plasma-Rich Fibrin Regenerative Material in Tympanic Membrane Surgery. Medicina 2023, Vol. 59, Page 1292, 59(7), 1292. https://doi.org/10.3390/MEDICINA59071292
Yavuz, R., Arslan, S., Imamoglu, M., Isik, A., Bahadir, O., Y Cobanoglu, H., & Yavuz, H. (2023). Impact of titanium-prepared platelet-rich fibrin in type 1 fascia graft tympanoplasty on graft survival and hearing outcomes. Nigerian Journal of Clinical Practice, 26(7), 921–927. https://doi.org/10.4103/NJCP.NJCP_620_22
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Antonius Christanto, Risya Cilmiaty, Made Setiamika, Ratih Dewi Yudhani, Paramasari Dirgahayu

This work is licensed under a Creative Commons Attribution 4.0 International License.
Hak cipta pada setiap artikel adalah milik penulis.
Penulis mengakui bahwa SEHATRAKYAT (Jurnal Kesehatan Masyarakat) sebagai publisher yang mempublikasikan pertama kali dengan lisensi Creative Commons Attribution 4.0 International License.
Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini kedalam versi yang lain, seperti: dikirim ke respository institusi penulis, publikasi kedalam buku, dan lain-lain. Dengan mengakui bahwa naskah telah terbit pertama kali pada SEHATRAKYAT (Jurnal Kesehatan Masyarakat).





















