Review Article

FGF2 and EGF for the Regeneration of Tympanic Membrane: A Systematic Review

Table 2

Summary of FGF2 and EGF effects on human acute perforation.

AuthorsStudy objectStudy designSize of perforationFollow-up (months)Treatment strategyClosure rateMean closure time (days)
FGF2 groupControl groupFGF2 groupControl groupFGF2 groupControl group

Lou et al. [31] (2011)ChildrenRetrospective control study6FGF2 via GFSH98.5% (64/65)85.3% (58/68)
Lou [32] (2012)AdultRandomized, controlled trial≥50% of TM6FGF2 alone or via GFSH100% (32/32) and 97% (32/33)55% (16/29) and
Zhang and Lou [33] (2012)Adult penetratingProspective controlled study<25% of TM3FGF2 aloneSH100% (49/49)77% (34/44)
Lou and Wang [34] (2013)AdultProspective, controlled study.>50% of TM6FGF2 aloneSH and EA100% (20/20)56% (9/16) and 60% (12/20) and
Lou et al. [35] (2015)Adult-blast inducedProspective clinical study>75% of TM6FGF2 alone94.1%(16/17)
Lou et al. [36] (2016)Adult subacuteProspective control study1/8–1/2 of TM6FGF2 aloneSH11/12 (91.7%)9/17 (52.9%)
Lou et al. [37] (2016)AdultProspective controlled study.>25% of TM6FGF2 aloneGF and OFLX alone93.2% (68/73)85.7% (24/28) and 92.3% (36/39) and
Lou et al. [38] (2016)AdultsProspective clinical study.>25% of TM3FGF2 aloneEGF alone and SH89.3% (25/28)86.2% (25/29) and 72.4% (21/29) and
Lou Z and Lou Z [39] (2017)AdultsRandomized, controlled trial.>25% of TM6FGF2 aloneEGF alone and OFLX alone93.18% (41/44)91.11% (41/45) and 95.65%(44/46)1012 and 10
Jin et al. [40] (2017)AdultsProspective, randomized, controlled clinical study.>25% of TM6FGF2 via GFGF vs. SH97.9%89.8% vs. 70.7% vs. days
Lou ZC and Lou ZH [41] (2018)AdultRandomized, controlled trial>25% of TM12FGF2SH95.5%73.4%
Lou et al. [42] (2016)AdultProspective, randomized clinical trial≥1/8 of TM6 months0.1–0.15 mL of EGFSH91.4% (32/35)85.2% (29/34)
Yang et al. [43] (2016)AdultRetrospective case review≥25% of TM6 months0.1–0.15 mL of EGF0.1–0.15 mL of OFLX and SH93.5% (29/31)93.2% (41/44) and 82.2% (37/45) and
Lou ZC and Lou Z [44] (2018)AdultProspective, randomized, controlled≥50% of TM6 months0.1–0.15 mL of EGFGelatin patch and SH97.8%86.7% and 82.2% and
Lou et al. [45] (2019)Adult subacuteProspective study≥1/8 of TM6 months0.1–0.15 mL of EGFSH96.2%61.1%
Lou [46] (2019)Adult chronic traumaticCase observation study6 months0.1–0.15 mL of EGF100% (24/24) days

SH: spontaneous healing; OFLX: ofloxacin drops; FGF2: fibroblast growth factor-2; EGF: epidermal growth factor; GF: Gelfoam; EA: edge approximation; TM: tympanic membrane.