THE RESULTS of tympanic membrane grafting have improved dramatically in the past few years (Fig 1). In our hands, this improvement can be attributed for the most part to the technique of using temporalis fascia.
The purpose of this report is threefold: (1) To review the steps in the transition from postauricular full-thickness skin to fascia as a tympanic membrane graft. (2) To present the technique used in tympanic membrane grafting by members of the Otologic Medical Group. (3) To present the results of tympanic membrane grafting during the last four years in 1,958 cases.
Development of Grafting Technique
Postauricular full-thickness skin was used for reconstruction of the ear drum membrane when tympanoplasty was first introduced in a systematic form by Wullstein and Zollner. There have been many changes in graft material during the 12 years or more since that time, involving skin from other areas (split-thickness arm skin and
Sheehy JL, Glasscock ME. Tympanic Membrane Grafting With Temporalis Fascia. Arch Otolaryngol. 1967;86(4):391–402. doi:10.1001/archotol.1967.00760050393008