This clinical study evaluates the efficacy of the autologous blood-derived product called platelet- and extracellular vesicle-rich plasma as a supplement to the surgical treatment of chronic tympanic membrane perforations. Half of the participants will be treated with standard surgical procedure called tympanoplasty and addition of platelet- and extracellular vesicle-rich plasma. Another half will be treated with only the standard tympanoplasty.
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Change of tympanic membrane perforation size
Timeframe: Baseline (1 day pre-operatively), 6 weeks, 3 months and 6 months after surgery.
Change in Chronic Otitis Media Questionnaire 12 score
Timeframe: Baseline (1 day pre-operatively), 6 months after surgery.