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March 1969

Myringoplasty With Subcutaneous Tissue Graft

Author Affiliations

Norfolk, Va

From Norfolk General Hospital, Norfolk, Va.

Arch Otolaryngol. 1969;89(3):494-498. doi:10.1001/archotol.1969.00770020496010

THE NEED for finding the best grafting material to support epithelium and stimulate its growth to bridge a perforation continues to be one of the outstanding problems of reconstructive ear surgery. Various materials have been used for grafting.1-7 Autogenous connective tissue grafts applied medial to the perforation have been preferred by some surgeons. Canal skin grafts lateral to the perforation are preferred by others. In attempting to overcome the disadvantages of previously employed grafting materials subcutaneous tissue from the external auditory canal was used in a series of cases.

Technique  General anesthesia is administered. Local anesthesia aids hemostasis (Fig 1). Local anesthesia alone was satisfactory in a few cases. The incision was originally described by Heerman.8 He used the tissue as a graft in the oval window for stapedectomies. The incision is along the anterior superior aspect of the cartilaginous portion of the external auditory canal extending from

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