Different variations in methods and materials used in tympanoplasty

Abstract

Post auricular skin incision remains the most widely used approach for repair of tympanic membrane perforations. Some otologists use End-aural or Endo-meatal incisions for tympanoplasty. There are different methods of canal wall incisions to reach the area, including vascular strip incision, full cuff or near full cuff incision or meatotomy incision.1 Granulations and canal wall sagging are some annoying problems in the post operative time in some patients. Some surgeons prefer not to use any canal wall skin incisions.2 Various methods of tucking or supporting the graft material are used by different surgeons. Anterior tucking, lateral tucking, circumferential subannular grafting, Over-under method of grafting, 3 flap tympanoplasty, inferior flap tympanoplasty are some of the techniques utilized by many renowned otologists across the globe.3–7