SKIN from the external surface of the body has not proved to be ideal material for tympanic grafting.1-3 Complications arose when split-thickness or full-thickness grafts were used, and the method is not now in general use. Successful repair of a tympanic perforation in a man with a split-thickness skin graft from the under surface of the arm is reported with morphologic observations made on serial sections of the temporal bone obtained six years following operation.
The patient, a white male railroad engineer, age 62, was first seen in May 1955 with the complaint of recurrent drainage from the left ear and poor hearing. On examination on June 10, 1955, the right ear disclosed intact tympanic membrane with the appearance of well-ventilated middle ear space and uninvolved external canal. In the left tympanic membrane there was a posterosuperior perforation 0.4 X 0.4 cm with no evidence of purulent
GUILFORD F, WRIGHT WK, HALPERT B. Human Tympanoplasty With Split-Thickness Skin. Arch Otolaryngol. 1965;82(5):503–505. doi:10.1001/archotol.1965.00760010505009
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