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Article
March 1960

Myringoplasty

AMA Arch Otolaryngol. 1960;71(3):399-404. doi:10.1001/archotol.1960.03770030041009
Abstract

Myringoplasty is the procedure of surgically closing a perforation in the eardrum. Myringoplasty is indicated when one desires to accomplish one of two things; to improve the hearing or to seal the middle ear.

Diagnostic Survey of the Patient for Myringoplasty  The primary question to be answered by the surgeon in his preoperative evaluation of the patient for myringoplasty is, "Is the perforated tympanic membrane the only defect in the patient's ear mechanism?" He must rule out cholesteatoma or disease in the attic, aditus, or antrum, damage to the ossicular chain, or obstruction of the Eustachian tube.

History  The patient's history is of primary importance. One must determine the length of time the patient has had a hearing loss, whether or not there has been recent drainage, and whether the patient has any vertigo or pain. Usually the patient who is suitable for myringoplasty has had his perforation for several

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