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March 1960


Author Affiliations

Los Angeles
From the Department of Otolaryngology, University of Southern California School of Medicine. Los Angeles. Sponsored by the Los Angeles Foundation of Otology.

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

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