Combined Fascia-thin Split Skin Graft for Myringoplasty

Myringoplasty by Homogenous Vein Graft

“…For surgical repair, these perforations must have been clean and dry for some 3 months before their closure is justified, to ensure that there is no active infection present; tubal function also should be normal (Mawson and Pickard, 1962). Facility in Valsalva's inflation is desirable, and this may require some training, repeated Politzer inflation, thorough examination of the nose and sinuses, or even investigation with contrast medium (House, i960).…”

“…A combination of temporal fascia with skin on the outer side, split skin (Kraus et al, 1964), or meatal skin (Hooper, 1963), or vein lining the inner side, may be more effective still. Harpman (1964) considered temporal fascia better than free or pedicle skin grafts; and Austin (1965) found temporal fascia slightly superior to vein as it had no elastic tissue and was therefore not subject to shrinkage, was closer in structure to the missing tunica propria, and was always adequate in quantity, although perhaps more difficult to handle.…”