ALTHOUGH Berthold in 1878 described what can be regarded as the first surgical attempts to rebuild some type of ear drum, it is to Zollner1 and Wullstein that we look as the real pioneers in this field. Since their original reports in 1951 and 1952 on the use of full thickness postauricular skin and split skin grafts for tympanic grafting, the materials for carrying out these repairs have been under constant review.
The basic types of tympanoplasty have also been subjected to critical analysis but as yet there are no standard procedures or universally accepted graft materials. However, we appear to be much nearer our goal than we were five years ago.
This paper deals primarily with the use of freeze dried heart valves as tympanic grafts and with the experimental work which has accompanied this, but to give a background to their use we must first outline briefly
Cornish CB, Scott PJ. Freeze Dried Heart Valves as Tympanic Grafts. Arch Otolaryngol. 1968;88(4):350–356. doi:10.1001/archotol.1968.00770010352004
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