gms | German Medical Science

77th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 28.05.2006, Mannheim

Tympanoplasty type I in total defects of tympanic membrane

Meeting Abstract

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Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 77. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Mannheim, 24.-28.05.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06hnod265

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Published: April 24, 2006

© 2006 Karchev.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Trough videofilm are demonstrated the main steps of surgical method for recovery the integrity of tympanic membrane, applicable in total and subtotal tympanic defects, associated with chronic otitis media – mesotympanitis.

The method has been used in the ORL Department in Medical University – Sofia, over the last 30 years with very good morphological and functional results. So far, 900 patients have been operated using this technique.

As a rule, the surgical procedure is performed under local anesthesia. Through endaural incision a composed graft of cartilage and overlaying perichondrium is harvested from tragus.

Preparation of a vascular bed, modeling and adapting the graft over the skeletonized malleus handle - promptly fixed into the tympanic annulus with the perichondrial end, is subsequently carried out.

Graft surface is covered with a silastic protector, followed by packaging of the ear canal with gelfoam. After 2 weeks, the ear packaging is removed.

The late results show that in over 90% of cases has been established recovery of the tympanic membrane and hearing normalization.