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July 1961

Myringoplasty with the Use of Fascia Grafts

Arch Otolaryngol. 1961;74(1):45-49. doi:10.1001/archotol.1961.00740030048010

The renaissance of myringoplasty has evolved the use of many different types of autogenous tissues for the closure of tympanic membrane perforations or the reconstruction of the entire tympanic membrane. The work of Guilford and Wright in the use of split- and full-thickness skin grafts, and the use of vein grafts of Shea are 2 of the outstanding examples of the recent contributions to this phase of otosurgery.

There are many advantages and disadvantages in the use of skin to close tympanic membrane perforations. One of the main disadvantages is the constant desquamation and maceration, with subsequent infection and loss of the graft. These have been some of the major problems in this type of closure of tympanic membrane perforations. Technically, this procedure is also considerably more difficult than the other procedures. The vein graft as devised by Shea is certainly a very definite contribution to the problem. The only

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