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Original Articles
March 1961

Repair of Traumatic Myringorupture

Arch Otolaryngol. 1961;73(3):328-333. doi:10.1001/archotol.1961.00740020336014

Standard therapy for traumatic myringorupture has been simple patching or careful observation.1,2 A review of the literature showed that in a series of 77 cases of perforation due to blast injury treated by standard methods, the incidence of persistent perforation one month later was 15%.3 This high percentage of nonhealing provoked attempts at immediate repair of the defect in a series of 12 cases of myringorupture of manual percussion etiology.

Rationale  The drum is oval, measures 8×9 mm. and is divided into a flaccid and a tense portion. The flaccid part contains only an outer squamous epithelial layer and an inner mucous coat. The pars tensa contains 5 layers:4 (a) an outer cutaneous layer, (b) a thin layer of dermis, (c) a connective tissue layer of radiating fibers from the manubrium to the fibrocartilaginous annulus tympanicus, (d) a second connective tissue layer arranged concentrically, best developed at