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To the Editor: The one type of perforation that still gives me poor results after myringoplasty is the anterior-inferior perforation where one must bur or curet the bony overhang. Even though the perforation may be small, the result tends to be either a recurrence of perforation or a marked retraction of the healed area. I have used temporalis fascia or vein underneath the drum and along the canal wall to correct this. Is there any way to prevent the recurrent perforations and the retraction?
SPECTOR M. PERFORATIONS. Arch Otolaryngol. 1965;81(6):640. doi:10.1001/archotol.1965.00750050655019
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